Gastric Dilatation and Volvulus

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Category:WikiClinical CanineCow

Signalment

  • Large deep chested breeds including:

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

Haematology

Biochemistry

Diagnostic imaging

Treatment

The most important first line treatments are fluid therapy and gastric decompression

Fluid therapy

Gastric decompression

Adjunct therapy

Surgery

Prophylaxis

Prognosis

References