articleInternational Journal of Molecular SciencesJan 7, 2026GOLD OA

Agent- and Dose-Specific Intestinal Obstruction Safety of GLP-1 Receptor Agonists and SGLT2 Inhibitors: A Network Meta-Analysis of Randomized Trials

I-Shou University · Chang Gung University · +16 more institutions

PubMed
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Abstract

Glucagon-like peptide-1 (GLP-1) receptor agonists and sodium-glucose cotransporter-2 (SGLT2) inhibitors have reshaped pharmacological management of type 2 diabetes, but emerging safety signals suggest a possible association with intestinal obstruction. Because many candidates for these agents already harbor risk factors for ileus and bowel obstruction, clarifying agent- and dose-specific gastrointestinal safety is clinically important. We aimed to re-evaluate the risk of intestinal obstruction across individual GLP-1 receptor agonists and SGLT2 inhibitors, with particular attention to dose stratification. We systematically searched eight databases through 21 January 2025 to identify randomized controlled…

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19

Topics & keywords

Keywords
  • Canagliflozin
  • Odds ratio
  • Placebo
  • Randomized controlled trial
  • Absolute risk reduction
  • Number needed to harm
  • Number needed to treat
  • Relative risk
UN Sustainable Development Goals
  • Good health and well-being
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