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Gastric Dilatation and Volvulus (view source)
Revision as of 13:01, 22 August 2010
, 13:01, 22 August 2010no edit summary
==Other diagnostic tools===
==Other diagnostic tools===
Plasma lactate concentration has been reported to have a strong link with the patient's prognosis due its association with gastric necrosis and systemic hypovolaemia. A plasma lactate greater than 6 mmol/L is associated with a poor prognosis.
Plasma lactate concentration has been reported to have a strong link with the patient's prognosis due its association with gastric necrosis and systemic hypovolaemia. A plasma lactate greater than 6 mmol/L is associated with a poor prognosis.
Electrocardiography (ECG) is essential as cardiac arrhythmias may occur in up to 40% of dogs with GDV. Most arrhythmias are ventricular in origin and occur within 36 hours of admission.
==Treatment==
==Treatment==
Once the patient has been stabilised, the volvulus should be surgically reduced via a cranioventral midline laparotomy. In a ventral midline approach, the first visible structure encountered with a clockwise rotation of the stomach is the ventral leaf of the omentum. The spleen may be displaced from the left side of the abdomen to the right (ventral) side.
Once the patient has been stabilised, the volvulus should be surgically reduced via a cranioventral midline laparotomy. In a ventral midline approach, the first visible structure encountered with a clockwise rotation of the stomach is the ventral leaf of the omentum. The spleen may be displaced from the left side of the abdomen to the right (ventral) side.
==References==
==References==
Hall, E.J, Simpson, J.W. and Williams, D.A. (2005) '''BSAVA Manual of Canine and Feline Gastroenterology (2nd Edition)''' ''BSAVA''
*Hall, E.J, Simpson, J.W. and Williams, D.A. (2005) '''BSAVA Manual of Canine and Feline Gastroenterology (2nd Edition)''' ''BSAVA''
*King, L. and Hammond, R. (1999) '''BSAVA Manual of Canine and Feline Emergency and Critical Care''' ''BSAVA''
King, L. and Hammond, R. (1999) '''BSAVA Manual of Canine and Feline Emergency and Critical Care''' ''BSAVA''
*Tilley, L. P., and Tilley, L. P. (2008) '''Manual of canine and feline cardiology''' ''Elsevier Health Sciences''
*Tivers, M. and Brockman, D. (2009) '''Gastric dilation–volvulus syndrome in dogs 1. Pathophysiology, diagnosis and stabilisation''' 31(2):66 ''In Practice''
Tivers, M. and Brockman, D. (2009) '''Gastric dilation–volvulus syndrome in dogs 1. Pathophysiology, diagnosis and stabilisation''' 31(2):66 ''In Practice''
*Tivers, M. and Brockman, D. (2009) '''Gastric dilation–volvulus syndrome in dogs 2. Surgical and postoperative management''' 31(3):114 ''In Practice''
Tivers, M. and Brockman, D. (2009) '''Gastric dilation–volvulus syndrome in dogs 2. Surgical and postoperative management''' 31(3):114 ''In Practice''