Non Surgical Gastropexy for GDV

Re: Non Surgical Gastropexy for GDV

amy sinton — Sat, 18 Sep 2010 10:44:41 GMT

thank you both for your comments, they have provided me with some really useful information.

Best wishes

Amy

Re: Non Surgical Gastropexy for GDV

Simon Neuhoff — Fri, 17 Sep 2010 07:41:19 GMT

I'm inclined to agree with Nix. With a GDV (as opposed to a simple dilatation) there is usually need to surgically reposition the stomach and it is that this time that a gastropexy would be best done - surgically.

I remember reading a recommendation that all giant breed dogs should have prophyactic gastropexy's done prior to them having a GDV. Seemed a bit extreme to me but perhaps that would be an area where a non surgical pexy might be applicable.

Re: Non Surgical Gastropexy for GDV

Nixthevet — Thu, 16 Sep 2010 18:35:29 GMT

IMHO the anchoring devises wouldn't really have any application for the management of GDV . They oppose the stomach wall to the abdominal wall but the serosa of the stomach and peritoneal lining remains intact- so there would be very minimal if any long term adhesions to aid in the prevention of GDV. The only application may be to aid in the emergency ( and temporay) decompression of the stomach prior to stabilisation for surgery- but in my experience a single percutaneous needle decompression is often adequate to relieve gastric dilatation for long enough to stabilise the animal and get it into theatre. My approach has always been to steer away from tube gastropexy due to the risk of complications- so again I would not see the advantage of the anchoring devices as I would create a surgical anchorage that would be more secure and lead to long term adhesion.

The opinion of others may be different though