DOI
https://doi.org/10.18849/ve.v10i1.695Abstract
Question
In dogs diagnosed with gastric dilatation and volvulus (GDV), does gastric decompression and gastropexy reduce the risk of recurrence of dilatation compared to dogs undergoing gastric decompression alone?
Clinical bottom line
Category of research:
Treatment.
Number and type of study designs reviewed:
Four papers were critically reviewed. Two papers were retrospective studies, and two were prospective.
Strength of evidence:
Strong.
Outcomes reported:
In dogs with GDV, the risk of recurrence of this disease was much lower when gastropexy was performed.
Conclusion:
The studies comparing the recurrence rates in dogs with GDV treated either with gastric decompression (with or without gastric repositioning) or with gastric decompression and gastropexy indicate that gastropexy will significantly reduce the risk of recurrence.
References
Eggertsdóttir, V., Stigen, Ø., Lønaas, L., Kolbjørnsen, Ø. & Moe, L. (1996). Comparison of Two Surgical Treatments of Gastric Dilatation-Volvulus in Dogs. Acta Veterinaria Scandinavica. 37(4), 415–426. DOI: https://doi.org/10.1186/BF03548081
Glickman, L. T., Lantz, G.C., Schellenberg, D.B. & Glickman, N.W. (1998). A prospective study of survival and recurrence following the acute gastric dilatation-volvulus syndrome in 136 dogs. Journal of the American Animal Hospital Association. 34(3), 253–259. DOI: https://doi.org/10.5326/15473317-34-3-253
Meyer-Lindenberg, A., Harder, A., Fehr, M., Lüerssen, D. & Brunnberg, L. (1993). Treatment of gastric dilatation-volvulus and a rapid method for prevention of relapse in dogs: 134 cases (1988–1991). Journal of the American Veterinary Medical Association. 203(9), 1303–1307.
Wingfield, W. E., Betts, C.W. & Greene, R.W. (1975). Operative techniques and recurrence rates associated with gastric volvulus in the dog. Journal of Small Animal Practice. 16(7), 427–432. DOI: https://doi.org/10.1111/j.1748-5827.1975.tb05766.x
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