Association of insulin treatment with gastric residue during an esophagogastroduodenoscopy

J Diabetes Investig. 2022 Mar;13(3):501-504. doi: 10.1111/jdi.13665. Epub 2021 Sep 27.

Abstract

The purpose of this study was to investigate the association of glycemic control and diabetes treatment to gastric residue observed during an esophagogastroduodenoscopy. Among 6,592 individuals who had esophagogastroduodenoscopy at our clinic between 2003 and 2019, we retrospectively and longitudinally identified those who had gastric residue during an esophagogastroduodenoscopy. Other data collected were age, sex, diagnosis of diabetes, glycated hemoglobin and diabetes medication. Cox proportional hazards models were used to assess the association of these data with the occurrence of gastric residue. To the best of our knowledge, this is the first retrospective cohort study finding that undergoing insulin treatment is a risk factor for gastric residue independent of age, sex and diabetes or glycated hemoglobin.

Keywords: Gastric residue; Gastroparesis; Insulin treatment.

MeSH terms

  • Blood Glucose
  • Diabetes Mellitus, Type 2* / drug therapy
  • Endoscopy, Digestive System
  • Glycated Hemoglobin / analysis
  • Humans
  • Insulin / therapeutic use
  • Insulins* / therapeutic use
  • Retrospective Studies

Substances

  • Blood Glucose
  • Glycated Hemoglobin A
  • Insulin
  • Insulins