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| Tivers, M. and Brockman, D. (2009) '''[[http://inpractice.bvapublications.com/cgi/reprint/31/3/114?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&author1=brockman&andorexactfulltext=and&searchid=1&FIRSTINDEX=0&sortspec=relevance&resourcetype=HWCIT|Gastric dilation–volvulus syndromein dogs 2. Surgical and postoperative management]]''' 31(3):114 ''In Practice'' | | Tivers, M. and Brockman, D. (2009) '''[[http://inpractice.bvapublications.com/cgi/reprint/31/3/114?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&author1=brockman&andorexactfulltext=and&searchid=1&FIRSTINDEX=0&sortspec=relevance&resourcetype=HWCIT|Gastric dilation–volvulus syndromein dogs 2. Surgical and postoperative management]]''' 31(3):114 ''In Practice'' |
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| + | ==From pathology section== |
| + | |
| + | * Is a consequence of '''gastric dilation'''. |
| + | ** Gastric dilation occurs in dogs, cats, horses, rabbits and primates. |
| + | ** Cause unclear but may be associated with overeating. |
| + | ** Gastric dilation is most studied in dog, since it can lead to displacement of the [[Forestomach - Anatomy & Physiology|stomach]] within the abdomen. |
| + | |
| + | ===Clinical=== |
| + | |
| + | * Mainly affects large, deep-chested dogs - Great Dane, St. Bernard's and occasionally German Shepherd dogs. |
| + | ** A similar condition also occurs in the pig. |
| + | * Animal collapses suddenly and must be operated on rapidly. |
| + | |
| + | ===Pathogenesis=== |
| + | |
| + | * Usually occurs around 30 minutes after a meal, or following aerophagia. |
| + | ** [[Forestomach - Anatomy & Physiology|Stomach]] is distended (gastric dilation). |
| + | ** Animal excercises, and the [[Forestomach - Anatomy & Physiology|stomach]] twists 180 degrees clockwise on its mesentery. |
| + | * Torsion impairs the blood supply- the arterial supply is maintained BUT venous drainage is blocked. |
| + | ** [[Forestomach - Anatomy & Physiology|Stomach]] wall becomes severely congested and infarction of gastric mucosa may occur. |
| + | * [[Forestomach - Anatomy & Physiology|Stomach]] blows up with gas and fluid. |
| + | ** Block venous return to heart. |
| + | ** Compresses diaphragm and interferes with respiration. |
| + | |
| + | * '''The actual cause of the problem and the reason for accumulation of gas is unclear.''' |
| + | ** It is better to feed big dogs small amounts more frequently. |
| + | |
| + | ===Pathology=== |
| + | |
| + | ====Gross==== |
| + | |
| + | * Following the pathogenesis above the [[Forestomach - Anatomy & Physiology|stomach]] contents appear dark red/black and bloody, and the organ may rupture. |
| + | * The [[Spleen - Anatomy & Physiology|spleen]] is also affected by venous occlusion. |
| + | ** Becomes very congested and moves from left to right side of abdomen. |
| + | |
| + | ====Histological==== |
| + | |
| + | * Venous obstruction gives rise to congestion, oedema and necrosis of gastric mucosa.[[Category:Stomach_and_Abomasum_-_Pathology]][[Category:Dog]] |