Clear Liquids, Safer Procedures—Lessons from the OCULUS Trial—Reply - Takeaways - MDSpire
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Clear Liquid Diets and Enhanced Safety in Procedures: Insights from the OCULUS Trial—A Response

  • By

  • Akram I. Ahmad

  • Tilak Shah

  • September 1, 2026

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  • 1

    The OCULUS trial highlighted the importance of clear liquid diets in reducing clinically significant residual gastric volume (CS-RGV) during upper endoscopy.

  • 2

    No CS-RGV was detected among OCULUS participants who adhered to a 24-hour clear liquid diet, regardless of medication continuation.

  • 3

    The ongoing OCULUS-2 trial is examining the effects of holding versus continuing GLP-1/GIP RAs during bowel preparation.

  • 4

    Recent guidelines suggest stratifying CS-RGV risk for patients on GLP-1/GIP RAs, emphasizing the need for careful patient selection.

  • 5

    There is a lack of evidence on patient preferences regarding dietary modification and medication withholding, indicating a gap in clinical decision-making.

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