Treatment of gastric dilatation-volvulus and a rapid method for prevention of relapse in dogs: 134 cases (1988–1991)

Andrea Meyer-Lindenberg From the Clinic of Small Animals, School of Veterinary Medicine, Bischofsholer Damm 15, 30173 Hanover, Germany.

Search for other papers by Andrea Meyer-Lindenberg in
Current site
Google Scholar
PubMed
Close
 DVM
,
Antina Harder From the Clinic of Small Animals, School of Veterinary Medicine, Bischofsholer Damm 15, 30173 Hanover, Germany.

Search for other papers by Antina Harder in
Current site
Google Scholar
PubMed
Close
 DVM
,
Michael Fehr From the Clinic of Small Animals, School of Veterinary Medicine, Bischofsholer Damm 15, 30173 Hanover, Germany.

Search for other papers by Michael Fehr in
Current site
Google Scholar
PubMed
Close
 DVM
,
Dirk Lüerssen From the Clinic of Small Animals, School of Veterinary Medicine, Bischofsholer Damm 15, 30173 Hanover, Germany.

Search for other papers by Dirk Lüerssen in
Current site
Google Scholar
PubMed
Close
 DVM
, and
Leo Brunnberg From the Clinic of Small Animals, School of Veterinary Medicine, Bischofsholer Damm 15, 30173 Hanover, Germany.

Search for other papers by Leo Brunnberg in
Current site
Google Scholar
PubMed
Close
 DVM, PhD

Click on author name to view affiliation information

Summary

During a 3.3-year period, gastric dilatation-volvulus was diagnosed in 134 dogs. Thirteen of them died or were euthanatized prior to treatment. In 33 dogs, decompression and emptying of the stomach was successfully performed via a gastric tube. Rate of recurrence was 75.8% (25/33) for these dogs. Eighty-eight dogs were treated surgically. In all but 1 surgically treated dog, a new technique for gastropexy was performed for prevention of relapse. For the 5-cm-long gastropexy, the pyloric antrum was incorporated in the cranial suture of the abdominal wall. Of the surgically treated group, 63 dogs (79.7%) were discharged from the clinic in good condition. Recurrence of gastric dilatation, without evidence of gastric volvulus, 2 (n = 3) and 6 (n = 1) months after surgery, was observed in 6.6% (4/61) of surgically treated dogs with gastric dilatation-volvulus. Four (6.6%) of the 61 dogs died or were euthanatized because of other causes, but had been without signs of gastric dilatation within a mean of 19 months after surgery. In the remaining 53 dogs (86.8%), relapse had not been observed by the end of the follow-up period. In dogs with surgical treatment of gastric dilatation-volvulus, recurrence rate (6.6%) was significantly (P < 0.0001) different from that in those with medical treatment (75.8%). This study indicated that recurrence of gastric dilatation-volvulus may be prevented with this simple and fast gastropexy technique.

Summary

During a 3.3-year period, gastric dilatation-volvulus was diagnosed in 134 dogs. Thirteen of them died or were euthanatized prior to treatment. In 33 dogs, decompression and emptying of the stomach was successfully performed via a gastric tube. Rate of recurrence was 75.8% (25/33) for these dogs. Eighty-eight dogs were treated surgically. In all but 1 surgically treated dog, a new technique for gastropexy was performed for prevention of relapse. For the 5-cm-long gastropexy, the pyloric antrum was incorporated in the cranial suture of the abdominal wall. Of the surgically treated group, 63 dogs (79.7%) were discharged from the clinic in good condition. Recurrence of gastric dilatation, without evidence of gastric volvulus, 2 (n = 3) and 6 (n = 1) months after surgery, was observed in 6.6% (4/61) of surgically treated dogs with gastric dilatation-volvulus. Four (6.6%) of the 61 dogs died or were euthanatized because of other causes, but had been without signs of gastric dilatation within a mean of 19 months after surgery. In the remaining 53 dogs (86.8%), relapse had not been observed by the end of the follow-up period. In dogs with surgical treatment of gastric dilatation-volvulus, recurrence rate (6.6%) was significantly (P < 0.0001) different from that in those with medical treatment (75.8%). This study indicated that recurrence of gastric dilatation-volvulus may be prevented with this simple and fast gastropexy technique.

All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 335 335 74
PDF Downloads 110 110 18
Advertisement