Difference between revisions of "Gastric Dilatation and Volvulus"

Revision as of 11:29, 20 August 2009

Signalment

Large deep chested breeds including:

Akitas
Bloodhounds
Collies
Great Danes
Irish Setters
Wolfhounds
Newfoundlands
Rottweilers
Saint Bernards
Standard Poodles
Weirmaraners

Description

Gastric dilatation (GD) and Gastric dilatation and volvulus (GDV) are caused by the stomach distending with air. In GDV the stomach twists around its axis with both conditions leading to compression of the caudal vena cava. GDV can lead to hypovolaemic shock, splenic torsion, gastric wall ischaemia, abdominal viscera congestion, endotoxic shock and disseminated intravascular coagulation (DIC)

Diagnosis

History and Clinical signs

Abdominal distension
Non-productive retching
Weakness
Collapse
Salivation
Abdominal tympany
Tachycardia
Pallor
Hypothermia
Cardiac arrythmias (ventricular premature beats, ventricular tachycardia)

Haematology

Biochemistry

Diagnostic imaging

Treatment

Fluid therapy

Gastric decompression

Adjunct therapy

Surgery

Prophylaxis

Prognosis

References

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 ==Description==
-Gastric dilatation (GD) and Gastric dilatation and volvulus (GDV) are caused by the stomach distending with air. In GDV the stomach twists around its axis with both conditions leading to compression of the caudal vena cava. GDV can lead to hypovolaemic shock, splenic torsion, gastric wall ischaemia, abdominal viscera congestion, endotoxic shock and [[Disseminated Intravascular Coagulation - Pathology|disseminated intravascular coagulation (DIC)]]
+Gastric dilatation (GD) and Gastric dilatation and volvulus (GDV) are caused by the stomach distending with air. In GDV the stomach twists around its axis with both conditions leading to compression of the caudal vena cava. GDV can lead to [[Shock - Pathology#Hypovolaemic shock|hypovolaemic shock]], splenic torsion, gastric wall ischaemia, abdominal viscera congestion, [[Shock - Pathology#Endotoxic shock|endotoxic shock]] and [[Disseminated Intravascular Coagulation - Pathology|disseminated intravascular coagulation (DIC)]]
 ==Diagnosis==