Publikationsdatenbank

A 6-year retrospective study of canine gastric dilatation volvulus treated with incorporating gastropexy (2012)

Art

Hochschulschrift

Autor

Thongkorn, Kriangkrai (WE 20)

Quelle

Berlin: Mensch & Buch Verlag, 2012 — X, 80 Seiten

ISBN: 978-3-86387-241-0

Sprache

Englisch

Verweise

URL (Volltext): https://refubium.fu-berlin.de/handle/fub188/12037

Kontakt

Klein- und Heimtierklinik

Oertzenweg 19 b
14163 Berlin
+49 30 838 62422
kleintierklinik@vetmed.fu-berlin.de

Abstract / Zusammenfassung

Gastric dilatation-volvulus (GDV) is a potentially life-threatening syndrome of multifactorial origins that require immediate appropriate medical and surgical treatment as well as intensive postoperative care. Many studies have shown multiple risk factors for GDV. They include breed, anatomy, genetics, age, feeding, activities, behaviors and other factors. Surgery should be performed as soon as the GDV dogs have been treated medically and are stable enough to be given general anesthesia. The principal objectives of surgical treatment are decompression and repositioning of the stomach, resection of a possible pathologic gastric wall, and prophylactic permanent gastropexy. In our clinic, a surgical method of choice is ‘Incorporating gastropexy’. We use this technique routinely because this technique is technically simple and can be learned and performed easily. Additionally, this technique takes less surgical time which diminishes the risk of anesthetic complications. The sex distribution of dogs in our study shows that male dogs present slightly more than female dogs with male to female ratio 1.72:1. The result of dog population relative to age in our study is similar toformer studies which older dogs are more common. Fourty-three breeds were represented in our clinic during the six years. The fourth most frequent breeds include the German Shepherd (10.4 %), the Great Dane (7.5 %) and large mixed breed (7.5 %), and the Dobermans (6.4 %), respectively. The third most frequent clinical signs are of distending or tympanic abdomens in 112 (61.87 %), pale mucous membranes in 47 (25.96 %), and tachycardia in 45 (24.86 %), respectively. Thirty-two dogs have one or more associated radiographic findings of problem with their cardiovascular, gastrointestinal and/or reticuloendothelial system. The third most frequent were of GDV with hypovolemic hearts, GDV with gaseous distention of the intestinal loop, and each of GDV with spleenomegaly and GDV with megaesophagus, respectively. Of the 181 GDV-involved symptomatic patients, 125 (69.06 %) dogs were performed gastropexy. Of these 125 dogs underwent gastropexy, 113 (90.40 %) dogs survived and were discharged from the hospital. Of the 181 GDV-involved symptomatic patients, 40 (22.22 %) dogs were treated conservatively. Of these 40 dogs underwent conservative treatment, 26 (65 %) dogs were successfully treated and discharged from the hospital. Of the 181 GDV-involved symptomatic patients, 16 (19.75 %) dogs were performed laparotomy. Of these 16 dogs underwent laparotomy, 15 (93.75 %) dogs were euthanized due to irreversible pathologic changes of the stomach, hypovolumic shock, arrhythmias, splenic thrombosis and recurrent GDV. No dog which underwent laparotomy died. Only one (6.25 %) was discharged from the hospital after removing a foreign body from the stomach and it has been hospitalized of 3 days. In this study, overall survival and survival in the surgically treated group (gastropexy) are 77.35 % and 90.4 %, respectively. It might be concluded that coagulation parameters (aPTT and PT), liver enzymes (ALT, AST, and GLDH), plasma ionized calcium, and duration of clinical signs from onset to first presentation are prognostic indicators for survival and mortality. According to the 90.40 % survival rate of surgically treated group (incorporating gastropexy), this technique seem to be more practical to the surgeon to perform the immediate surgical correction of GDV.