Semaglutide-Associated Gastric Pneumatosis

ACG Case Rep J. 2024 Dec 27;12(1):e01579. doi: 10.14309/crj.0000000000001579. eCollection 2025 Jan.

Abstract

Semaglutide, a glucagon-like peptide-1 receptor agonist, used for Type 2 diabetes mellitus and more recently for weight loss, often causes gastrointestinal adverse effects such as delayed gastric emptying and abdominal discomfort. Current literature has not described an associated case of gastric pneumatosis with semaglutide use. We report a 61-year-old man on semaglutide for 9 months with gastric pneumatosis. Symptoms resolved on discontinuation. Clinicians should be vigilant for significant gastrointestinal adverse effects, including pneumatosis with semaglutide use.

Keywords: GLP-1 agonist; gastric pneumatosis; semaglutide.

Publication types

  • Case Reports