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Gastric Dilatation and Volvulus (view source)
Revision as of 08:40, 24 August 2009
, 08:40, 24 August 2009no edit summary
*Pallor
*Pallor
*Hypothermia
*Hypothermia
*Cardiac arrythmias (present in 40% of patients) ([[Altered Impulse Formations - WikiClinical#2. Ventricular Premature Complexes (VPCs)|ventricular premature beats]], [[Altered Impulse Formations - WikiClinical#1. Ventricular Tachycardia|ventricular tachycardia]])
*Cardiac arrythmias (present in 40-50% of patients) ([[Altered Impulse Formations - WikiClinical#2. Ventricular Premature Complexes (VPCs)|ventricular premature beats]], [[Altered Impulse Formations - WikiClinical#1. Ventricular Tachycardia|ventricular tachycardia]])
===Haematology===
===Haematology===
===Surgery===
===Surgery===
Surgical aims include:
*Gastric decompression and repositioning
*Assessing the organ viability
*Removing necrotic tissue
*Gastropexy (can perform incisional, tube, belt-loop and circumcostal techniques) to prevent recurrence
If gastric necrosis (happens in 10-37% of patients) is present (discoloured dark purple or grey/green, don't bleed when incised or feel paper thin) then a parital gastrectomy is required. Damage to the spleen via avulsion or torsion may need partial or complete splenectomy.
===Post-operative complications===
These are wide and varied and include:
*Hypoperfusion
*Hypotension
*Cardiac arrythmias
*Aspiration pneumonia
*Abnormal gastric motility
*Gastric necrosis
*DIC
*Systemic Inflammatory Response Syndrome (SIRS)
==Prognosis==
==Prognosis==
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 syndromein dogs 2. Surgical and postoperative management''' 31(3):114 ''In Practice''