Prophylactic gastropexy is recommended in specific breeds to prevent Gastric Volvulus. Gastropexy should be performed as part of therapeutic surgery that is performed in dogs suffering from GDV. Finally, large breed dogs that are presented with gastric dilatation should have prophylactic gastropexy performed to prevent the occurrence of gastric volvulus.
- To understand the indications for gastropexy in the canine that may suffer GDV.
- To understand the surgical anatomy and landmarks of what makes an effective gastropexy.
- GDV is a critical medical and surgical disease process with moderate mortality
- GDV has an 85% recurrence rate following GDV unless effective gastropexy is performed
- The pyloric antrum of the stomach is incised and sutured to an incision made in the right abdominal wall
Q: What are risk factors for GDV?
A: Large breeds with narrow & deep thoracic cavity, stress, eating from a raised dish, once daily feeding, rapid ingestion of food, and having a first-degree relative with GDV
Q: What breeds are at increased risk for GDV?
A: Breeds at increased risk for GDV include Great Dane, Weimeraner, Standard Poodle,German Shepherd, Irish & Gordon Setters, Doberman Pinscher, and others
Q: What is the treatment for GDV?
A: GDV is caused by rotation of the stomach on mesenteric axis followed by gastric distension causing shock, collapse, unproductive attempts to vomit and cardiac arrythmias, and death.
Q: How is GDV treated?
A: GDV is an emergency and is treated with intravenous fluids, gastric decompression and surgery to derotate the stomach, check gastric viability and perform a gastropexy.
Q: When is a prophylactic gastropexy indicated?
A: Gastropexy is indicated in animals with GDV (Described earlier, in breeds at increased risk, and in dogs at have a spontaneous gastric dilatation dilatation.)
Q: How is a gastropexy performed?
A: A 2-2.5 inch seromuscular incision is made in the pyloric antrum of the stomach. A similar incision is made caudal to the last rib paralllel to the long axis of the dog; the abdominal incision proceeds through muscle to the transversalis fascia. 2-0 polydioxanone is used to suture the lateral portion of th gastric incision to the dorsal portion of the abdomainl wall incision with a continuous pattern. Next, a similar continuous suture pattern is used to suture the medial part of the gastric incision to the ventral aspect of the abdominal incision.
Q: What age is ideal for performing prophylactic gastropexy?
A: This is unknown, many dogs have had gastropexy performed at 5-6 months of age without reported complications.
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