Gastric dilatation volvulus. Surgical prevention.
Definitive surgical management of gastric dilatation volvulus involves gastric repositioning, gastric resection when indicated and surgical formation of a permanent adhesion to prevent recurrence of the problem. Derotation and gastropexy procedures are recommended as soon as the patient is a reasonable anesthetic risk. Splenectomy and pyloric outlet procedures are of questionable value in preventing recurrence in the majority of cases. In North America, most veterinary surgeons perform right-sided antral gastropexy as a means of preventing recurrence. The technical advantages and disadvantages and experimental and clinical results of several techniques, including the tube gastrostomy, incisional gastropexy, circumcostal gastropexy, and belt-loop gastropexy, are discussed.
Department of Small Animal Clinical Sciences, University of Florida College of Veterinary Medicine, Gainesville.
G W
GW
Ellison
D000818:Animals; D004283:Dog Diseases / Q000473:pathology / Q000601:surgery*; D004285:Dogs; D005743:Gastrectomy / Q000662:veterinary; D013271:Gastric Dilatation / Q000150:complications / Q000473:pathology / Q000601:surgery / Q000662:veterinary*; D005774:Gastrostomy / Q000662:veterinary; D011182:Postoperative Care; D013156:Splenectomy / Q000662:veterinary; D013277:Stomach Volvulus / Q000150:complications / Q000473:pathology / Q000601:surgery / Q000662:veterinary*