title: Efficacy of Two Radiologic-Assisted Prophylactic Gastropexy Techniques.
abstract: OBJECTIVE
  To describe the technique and clinical outcome of prophylactic percutaneous radiologic-assisted gastropexy (PRG) and radiologic-assisted incisional gastropexy (RIG) in client-owned dogs.
  
  
  METHODS
  Prospective, nonrandomized clinical trial.
  
  
  METHODS
  Fourteen client-owned, large, and giant breed dogs.
  
  
  METHODS
  Four dogs underwent PRG with fluoroscopic guidance to place 2 T-fasteners into the pyloric antrum and secure it to the right body wall. Ten dogs underwent RIG, which was a modification of PRG. For RIG, the T-fasteners were first used to approximate the pyloric antrum and body wall, then a full thickness incision through the body wall was made and the pyloric antrum was sutured to the internal abdominal wall. The duration and complications of each procedure were recorded. The gastropexy was assessed by abdominal ultrasound at day 1, week 2, and week 8 postoperative and by barium gastrogram at week 8 postoperative.
  
  
  RESULTS
  No dogs undergoing PRG had a gastropexy present at week 2. All dogs undergoing RIG had ultrasonographic evidence of gastropexy at day 1, week 2, and week 8 postoperative. Gastrograms in 9/9 dogs were consistent with an intact gastropexy, appropriate gastric positioning and appropriate gastric emptying began. No major complications were noted.
  
  
  CONCLUSIONS
  The PRG was unsatisfactory and did not result in a permanent gastropexy. The RIG was safe and created a gastropexy that remained intact at 8 weeks postoperative. The RIG should be considered as a minimally invasive option for prophylactic gastropexy in dogs of at-risk breeds.
authors.affiliation: Department of Surgical and Radiological Sciences, University of California-Davis, Davis, California.
authors.forename: Ingrid M
authors.initials: IM
authors.lastname: Balsa
authors.affiliation: Department of Surgical and Radiological Sciences, University of California-Davis, Davis, California.
authors.forename: William T N
authors.initials: WT
authors.lastname: Culp
authors.affiliation: Department of Surgical and Radiological Sciences, University of California-Davis, Davis, California.
authors.forename: Eric G
authors.initials: EG
authors.lastname: Johnson
authors.affiliation: Sutter Imaging, Interventional Radiology, Sacramento, CA.
authors.forename: Craig B
authors.initials: CB
authors.lastname: Glaiberman
authors.affiliation: Department of Surgical and Radiological Sciences, University of California-Davis, Davis, California.
authors.forename: Millie
authors.initials: M
authors.lastname: Grimes
authors.affiliation: Department of Surgical and Radiological Sciences, University of California-Davis, Davis, California.
authors.forename: Philipp D
authors.initials: PD
authors.lastname: Mayhew
authors.affiliation: Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California-Davis, Davis, CA.
authors.forename: Carrie A
authors.initials: CA
authors.lastname: Palm
mesh_terms: D034861:Abdominal Wall; D000818:Animals; D004283:Dog Diseases / Q000517:prevention & control / Q000601:surgery*; D004285:Dogs; D059485:Gastropexy / Q000662:veterinary; D011446:Prospective Studies; D015641:Radiography, Interventional / Q000662:veterinary; D013277:Stomach Volvulus / Q000601:surgery / Q000662:veterinary*