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Gastric dilatation volvulus. Surgical prevention
1Department of Small Animal Clinical Sciences, University of Florida College of Veterinary Medicine, Gainesville.
Summary
Surgical management of gastric dilatation volvulus (GDV) requires repositioning the stomach and creating a permanent adhesion, often through gastropexy, to prevent recurrence. Other procedures like splenectomy have questionable value in preventing GDV.
Area of Science:
- Veterinary Surgery
- Surgical Oncology
- Gastroenterology
Background:
- Gastric dilatation volvulus (GDV) is a life-threatening condition in animals.
- Definitive management aims to reposition the stomach and prevent recurrence.
Purpose of the Study:
- To review surgical techniques for managing GDV.
- To discuss the efficacy of various gastropexy methods.
Main Methods:
- Review of surgical procedures for GDV.
- Discussion of technical aspects and outcomes of different gastropexy techniques.
Main Results:
- Gastropexy is crucial for preventing GDV recurrence.
- Right-sided antral gastropexy is common in North America.
- Splenectomy and pyloric outlet procedures offer questionable benefit.
Conclusions:
- Surgical repositioning and gastropexy are key to managing GDV.
- Several gastropexy techniques exist, each with unique advantages and disadvantages.