Prophylactic gastropexy? - Let us explain this mouthful!

02 Prophylactic gastropexy? - Let us explain this mouthful!
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Oscar's stomach before treatment.

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Oscar’s stomach after treatment

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Oscar sleeping peacefully at home after surgery

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Gastropexy – image of the stomach from inside via laproscope

So what is a prophylactic gastropexy?  

This is a preventative surgical procedure which involves suturing a small part of the outer stomach wall to a specific site on the dog's right abdominal wall.  This is a strongly recommended operation for large breed, deep- chested dogs which have been shown to be dogs most susceptible to an awful condition commonly referred to as a twisted, bloated stomach (gastric dilatation and torsion - volvulous). This can now be done laparoscopically at our clinic to greatly minimise the discomfort and healing time for these dogs, and is often performed at the same time as desexing which makes sense.

The large breeds at risk include Great danes, German Shepherds, Rottweilers, Saint Bernards, Gordon Setters, Irish Setters, Irish Wolfhounds, Bull Mastiffs, Airedale Terriers, Akitas, Weimeraners, German Short Haired & Wire Haired Pointers, Standard Poodles, Bassett Hounds.  However occassionaly other larger breeds are involved.

Gastric dilatation involves the rapid accumulation of gas in the dog's stomach, usually a few hours after comsuming a large evening meal.  This is painful and happens quickly, and if you do see a big bloated belly, call for veterinary help immediately. If the condition is left to drag on, the dog's gas-filled stomach can start twisting on itself. The pain is immense and dogs in this state rapidly deteriorate.  Death is all too common without prompt surgical help.  Time is of the essence, but prevention with a gastropexy is best. Gastropexy surgery can be done at any time if it has not been performed at desexing.

Our nurse Jo Campbell recently had a scare when her beloved Oscar, a mature German Short-haired pointer was bloating one evening. Dr Stacey was called and was able to degas him under anaesthetic. Dr Steph then performed a laparoscopic-assisted gastropexy on him a few days afterwards - see attached pictures.




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