Laparoscopic or Endoscopic Gastropexy for the Prevention of GDV
What is GDV?
Gastric dilatation-volvulus (GDV) is a serious condition that often affects large- and giant-breed dogs. It occurs when the stomach fills with air and twists, leading to severe bloating and a chain reaction of systemic problems that can be fatal without prompt treatment. Factors that increase the risk of GDV include breed, conformation, temperament, diet, exercise habits around mealtimes, and pre-existing stomach disorders.
How Can GDV Be Prevented?
Common recommendations for reducing the risk of GDV include:
-
Feeding smaller meals of large kibble multiple times a day
-
Avoiding exercise before and after meals
-
Not using elevated food bowls
While these tips can help reduce your pet’s GDV risk, the only universally accepted preventive measure for GDV is a prophylactic gastropexy.
Why Consider Laparoscopic or Endoscopic Gastropexy?
Your veterinarian may recommend a gastropexy where the stomach is attached to the abdominal wall if your dog:
-
Has experienced bloat without twisting
-
Is at risk for GDV due to breed, conformation, or temperament, and you want to take proactive measures
-
Is undergoing an elective procedure like spaying or neutering
The choice between laparoscopic and endoscopic gastropexy may depend on your dog's size, anatomy, and your surgeon's preference.
What Does Gastropexy Involve?
Gastropexy is an elective surgery that permanently attaches the stomach to the abdominal wall to prevent twisting. General anesthesia is required, so this procedure is often performed with another elective procedure, like a spay or neuter surgery.
Postoperative Care
Follow these instructions to help your pet heal after their gastropexy:
-
Inspect the incisions daily for redness, swelling, or discharge, and contact your surgeon if you notice any issues.
-
Apply an ice compress to the incision near the ribs for 5 minutes, 2 to 3 times a day, for the first 3 days to reduce swelling and discomfort.
-
Limit your pet's activity for the first 2 weeks after surgery.
-
Continue feeding several smaller meals of large-sized or moistened kibble and avoid exercise around mealtimes.
-
Incisions typically heal in 7 to 10 days, and then the sutures can be removed.
Potential Complications
Postoperative complications are rare but may involve self-trauma to the incision sites. Contact your veterinarian if any issues arise. While the gastropexy procedure does not prevent bloating, it does help prevent the more serious problem of the stomach twisting. If your dog shows signs of bloating, contact your primary veterinarian or the nearest emergency hospital immediately.
Prognosis
Dogs who undergo a prophylactic gastropexy have an excellent prognosis, with no reported cases of GDV in dogs who have received this preventive surgery. The use of laparoscopic and endoscopic techniques not only reduces anesthesia time but also results in smaller incisions, leading to less discomfort compared to traditional methods.
Is Gastropexy Right for Your Pet?
If you're considering laparoscopic or endoscopic gastropexy to prevent GDV, please consult your primary care veterinarian for more information.