In order to adjust for confounders, the following covariate variables were selected as the independent variable: age, race, ethnicity, sex, BMI, history of chronic kidney disease (CKD), history of congestive heart failure (CHF), history of diabetes, history of gastric surgery, history of gastroparesis, whether bowel prep was used (e.g., underwent same day EGD-flexible sigmoidoscopy or EGD-colonoscopy), history of GLP-1RA use, and other medications known to contribute to delayed gastric emptying
Think of MCAS as an overreaction, or what doctors call a secondary activation, due to other external stimuli
Therefore, based on the current data, we are not able to exclude either hypothesis
These guidelines are developed under the auspices of SAGES, the Guidelines Committee, and approved by the Board of Governors