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, 09:51, 30 August 2011
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'''An eight-year-old St. Bernard is presented with signs of depression, abdominal distension and non-productive vomiting.'''
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<FlashCard questions="3">
|q1=What is the most likely diagnosis?
|a1=
Gastric dilatation-volvulus.
|l1=
|q2=Describe the initial presurgical therapy.
|a2=
Initial treatment consists of gastric decompression and treatment of shock.
Gastric decompression is achieved by passing a stomach tube, percutaneous needle trocarization or temporary gastrostomy.
|l2=
|q3=Describe the surgical correction of the problem, and name different surgical techniques to prevent recurrence.
|a3=
A standard midline laparotomy is performed and the stomach is repositioned and decompressed. Stomach contents are removed using a large stomach tube or through a gastrotomy incision.
The viability of the stomach is evaluated and non-viable parts are resected. The spleen is repositioned and inspected.
Splenectomy is performed if viability is in doubt.
The stomach is secured in a normal position by attaching the pyloric antral region to the adjacent right abdominal wall. Gastropexy techniques include tube gastrostomy and circumcostal, belt loop and incision gastropexy.
|l3=
</FlashCard>
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[[Category:Small Animal Soft Tissue Surgery Q&A]]