Evaluation of an endoscopically assisted gastropexy technique in dogs

Abstract

On the basis of these findings, it appears that endoscopically assisted gastropexy is a simple, fast, safe, and reliable method of performing a prophylactic gastropexy in dogs when undertaken by a person who is skilled in endoscopy. Such a procedure maximizes the benefits of decreased morbidity and shorter duration of anesthesia associated with minimally invasive surgery. Further clinical studies are warranted to evaluate the long-term efficacy of this procedure in dogs at risk for development of gastric dilatation-volvulus.

Result of Endoscopically Assisted Gastropexy in Dogs

“…Endoscopically assisted gastropexy is more commonly available in private practice compared with laparoscopic equipment. It was also agreed by Dujowich and Reimer, [4]. This procedure will result in greater owner acceptance of prophylactic gastropexies as a mean for preventing GDV among predisposed breeds.…”

“…Additionally, there is a 92% reduction in risk for development of GDV when a prophylactic gastropexy is performed [24]. On the basis of those fi ndings, prophylactic gastropexy can be suggested for dogs of predisposed breeds because it decreases GDV-associated mortality rates [4]. However, there are several considerations that must be taken into account before performing a prophylactic gastropexy in a dog.…”

“…The seromuscular layer was sutured to the transversus abdominis muscle in 2 individual continuous patterns with size-0 polypropylene suture. The obliquus externus abdominis muscles were then approximated with 2-0 polydioxanone suture in a simple interrupted pattern [4]. The subcutaneous tissues and skin were closed in routine fashion.…”

“…Early recognition of the condition combined with rapid gastric decompression, appropriate treatment for hypovolemic shock and reperfusion injury, and management of cardiac dysrhythmias decreases the risk of death associated with the disease [4]. If untreated, intragastric pressure will increase and, in turn, often result in cardiogenic shock and eventual death.…”

“…The lifetime risk of certain predisposed dogs to develop GDV has been estimated to be 4% to 37% [6]. Because GDV is such a serious disease and a certain subset of dogs is predisposed to the disease, the recommendation of many veterinarians is that gastropexy should be performed prophylactically in predisposed breeds [4,[7][8][9][10][11].…”