• 1. Brockman DJ, Holt DE, Washabau RJ, Pathogenesis of acute canine gastric dilatation-volvulus syndrome: is there a unifying hypothesis?. Compend Contin Educ Pract Vet. 2000; 22:11081114.

    • Search Google Scholar
    • Export Citation
  • 2. Glickman LT, Glickman NW, Pérez CMet al., Analysis of risk factors for gastric dilatation and gastric dilatation-volvulus in dogs. J Am Vet Med Assoc. 1994; 204:14651471.

    • Search Google Scholar
    • Export Citation
  • 3. Brockman DJ, Washabau RJ, Drobatz KJ, Canine gastric dilatation/volvulus syndrome in a veterinary critical care unit: 295 cases (1986–1992). J Am Vet Med Assoc. 1995; 207:460464.

    • Search Google Scholar
    • Export Citation
  • 4. Schellenberg DB, Yi Q, Glickman NWet al., Influence of thoracic conformation and genetics on the risk of gastric dilatation-volvulus in Irish Setters. J Am Anim Hosp Assoc. 1998; 34:6473.

    • Search Google Scholar
    • Export Citation
  • 5. Glickman LT, Glickman NW, Schellenberg DBet al., Incidence of and breed-related risk factors for gastric dilatation-volvulus in dogs. J Am Vet Med Assoc. 2000; 216:4045.

    • Search Google Scholar
    • Export Citation
  • 6. Glickman LT, Glickman NW, Schellenberg DBet al., Nondietary risk factors for gastric dilatation-volvulus in large and giant breed dogs. J Am Vet Med Assoc. 2000; 217:14921499.

    • Search Google Scholar
    • Export Citation
  • 7. Raghavan M, Glickman NW, McCabe Get al., Diet-related risk factors for gastric dilatation-volvulus in dogs of high-risk breeds. J Am Anim Hosp Assoc. 2004; 40:192203.

    • Search Google Scholar
    • Export Citation
  • 8. Glickman LT, Glickman NW, Schellenberg DBet al., Multiple risk factors for the gastric dilatation-volvulus syndrome in dogs: a practitioner/owner case-control study. J Am Anim Hosp Assoc. 1997; 33:197204.

    • Search Google Scholar
    • Export Citation
  • 9. Theyse LF, van de Brom WE, van Sluijs FJ, Small size of food particles and age as risk factors for gastric dilatation volvulus in Great Danes. Vet Rec. 1998; 143:4850.

    • Search Google Scholar
    • Export Citation
  • 10. Millis DL, Nemzek J, Riggs C, Gastric dilatation-volvulus after splenic torsion in two dogs. J Am Vet Med Assoc. 1995; 207:314315.

    • Search Google Scholar
    • Export Citation
  • 11. Neath PJ, Brockman DJ, Saunders HM, Retrospective analysis of 19 cases of isolated torsion of the splenic pedicle in dogs. J Small Anim Pract. 1997; 38:387392.

    • Search Google Scholar
    • Export Citation
  • 12. Marconato L, Gastric dilatation-volvulus as complication after surgical removal of a splenic haemangiosarcoma in a dog. J Vet Med A Physiol Pathol Clin Med. 2006; 53:371374.

    • Search Google Scholar
    • Export Citation
  • 13. Goldhammer MA, Haining H, Milne EMet al., Assessment of the incidence of GDV following splenectomy in dogs. J Small Anim Pract. 2010; 51:2328.

    • Search Google Scholar
    • Export Citation
  • 14. Grange AM, Clough W, Casale SA, Evaluation of splenectomy as a risk factor for gastric dilatation-volvulus. J Am Vet Med Assoc. 2012; 241:461466.

    • Search Google Scholar
    • Export Citation

Association between previous splenectomy and gastric dilatation-volvulus in dogs: 453 cases (2004–2009)

Angela J. Sartor DVM1, Adrienne M. Bentley DVM, DACVS2, and Dorothy C. Brown DVM, MSCE, DACVS3
View More View Less
  • 1 Veterinary Medical and Surgical Group, 2199 Sperry Ave, Ventura, CA 93003.
  • | 2 Veterinary Medical and Surgical Group, 2199 Sperry Ave, Ventura, CA 93003.
  • | 3 Department of Clinical Studies-Philadelphia, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104.

Abstract

Objective—To evaluate the association between previous splenectomy and gastric dilatation-volvulus (GDV) in dogs.

Design—Multi-institutional retrospective case-control study.

Animals—151 dogs treated surgically for GDV and 302 control dogs with no history of GDV.

Procedures—Computerized records of dogs evaluated via exploratory laparotomy or abdominal ultrasonography were searched, and dogs with GDV and dogs without GDV (control dogs) were identified. Two control dogs were matched with respect to age, body weight, sex, neuter status, and breed to each dog with GDV. Data were collected on the presence or absence of the spleen for both dogs with GDV and control dogs. Conditional logistic regression analysis was used to investigate the association of previous splenectomy with GDV.

Results—6 (4%) dogs in the GDV group and 3 (1%) dogs in the control group had a history of previous splenectomy. The odds of GDV in dogs with a history of previous splenectomy in this population of dogs were 5.3 times those of dogs without a history of previous splenectomy (95% confidence interval, 1.1 to 26.8).

Conclusions and Clinical Relevance—For the patients in the present study, there was an increased odds of GDV in dogs with a history of splenectomy. Prophylactic gastropexy may be considered in dogs undergoing a splenectomy, particularly if other risk factors for GDV are present.

Abstract

Objective—To evaluate the association between previous splenectomy and gastric dilatation-volvulus (GDV) in dogs.

Design—Multi-institutional retrospective case-control study.

Animals—151 dogs treated surgically for GDV and 302 control dogs with no history of GDV.

Procedures—Computerized records of dogs evaluated via exploratory laparotomy or abdominal ultrasonography were searched, and dogs with GDV and dogs without GDV (control dogs) were identified. Two control dogs were matched with respect to age, body weight, sex, neuter status, and breed to each dog with GDV. Data were collected on the presence or absence of the spleen for both dogs with GDV and control dogs. Conditional logistic regression analysis was used to investigate the association of previous splenectomy with GDV.

Results—6 (4%) dogs in the GDV group and 3 (1%) dogs in the control group had a history of previous splenectomy. The odds of GDV in dogs with a history of previous splenectomy in this population of dogs were 5.3 times those of dogs without a history of previous splenectomy (95% confidence interval, 1.1 to 26.8).

Conclusions and Clinical Relevance—For the patients in the present study, there was an increased odds of GDV in dogs with a history of splenectomy. Prophylactic gastropexy may be considered in dogs undergoing a splenectomy, particularly if other risk factors for GDV are present.

Contributor Notes

Dr. Sartor's present address is Sage Centers for Veterinary Specialty and Emergency Care, 1410 Monument Blvd, Concord, CA 94520.

Presented in abstract form at the American College of Veterinary Surgeons Annual Symposium, Chicago, November 2011.

Address correspondence to Dr. Sartor (asartor@sagecenters.com).