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Multiple risk factors for the gastric dilatation-volvulus syndrome in dogs: a practitioner/owner case-control study.

A study was conducted of 101 dogs (i.e., case dogs) that had acute episodes of gastric dilatation-volvulus (GDV) and 101 dogs (i.e., control dogs) with nonGDV-related problems. The control dogs were matched individually to case dogs by breed or size, and age. Predisposing factors that significantly (p less than 0.10) increased a dog's risk of GDV were male gender, being underweight, eating one meal daily, eating rapidly, and a fearful temperament. Predisposing factors that decreased the risk of GDV significantly were a "happy" temperament and inclusion of table foods in a usual diet consisting primarily of dry dog food. The only factor that appeared to precipitate an acute episode of GDV was stress.

Acute Disease↗

Gastric emptying of nondigestible radiopaque markers after circumcostal gastropexy in clinically normal dogs and dogs with gastric dilatation-volvulus.

Using radiopaque particles mixed with food, gastric emptying was assessed in healthy dogs not subjected to surgery, in healthy dogs 9 to 35 days after circumcostal gastropexy, and, in dogs 1 to 54 months after surgical treatment and recovery from gastric dilatation-volvulus (GDV). Circumcostal gastropexy surgery did not alter the 90% gastric emptying time for radiopaque particles in healthy dogs. However, 90% gastric emptying time was significantly (P less than 0.05) increased after circumcostal gastropexy in dogs with GDV, compared with healthy dogs after the same surgical procedure and recovery period. These results imply that dogs with GDV have delayed gastric emptying of solid particles. Whether delayed gastric emptying of markers detected in affected dogs after surgical treatment and recovery was the result or the cause of GDV was not determined. Results indicate that circumcostal gastropexy could be recommended as a prophylactic procedure for GDV in large breeds with deep thorax, because delayed gastric emptying of markers secondary to the surgical procedure is unlikely.

Animals↗

A histological study of the effects of nonsteroidal anti-inflammatory drugs (NSAIDs) on the gastric and duodenal mucosa.

The effect of nonsteroidal anti-inflammatory drugs (NSAIDs) on the gastric and duodenal mucosa was studied in 53 patients. On endoscopic biopsies, 87% patients showed gastritis and 90% duodenitis. Chronic superficial gastritis was the most frequent lesion in the stomach (49%); and mild duodenitis in the duodenum (54%). The antrum was the most frequently involved site in the stomach. An interesting finding in cases of duodenitis was the presence of dilated intestinal glands plugged with mucus.

Adolescent↗

Gastric emptying of a radionuclide-labeled test meal after surgical correction of gastric dilatation-volvulus in dogs.

Gastric emptying of a radionuclide-labeled test meal was studied in 10 dogs that had been treated surgically for gastric dilatation-volvulus and in 10 clinically normal (control) dogs. There were no significant differences between the gastric emptying rates and patterns in treated and in control dogs. Thus, there are no indications that gastric emptying is delayed in dogs that have recovered from gastric dilatation-volvulus, and there is no reason for pyloric surgery in dogs with this condition.

Animals↗

Laboratory evaluation of four techniques of stapled gastroplasty.

Four techniques of stapled gastroplasty including unreinforced horizontal gastroplasty (UHG), suture-reinforced horizontal gastroplasty (SHG), Marlex banded horizontal gastroplasty (HBG), and Marlex banded vertical gastroplasty (VBG) were studied in mongrel dogs. Twelve dogs survived operations by each technique and were killed in groups of four at 3, 6, and 12 weeks after operation. Five deaths caused by leaks occurred after UHG (one), SHG (one), and HBG (three). Disruption of the staple line occurred after UHG (four), HBG (one), and VBG (three). Mean stomal diameter at death for UHG (2.1 cm) and SHG (1.5 cm) was substantially greater than the initial diameter of 0.9 cm. Mean stomal diameter at death for HBG (1.4 cm) and VBG (1.3 cm) was only slightly larger than the initial diameter of 1.2 cm. There was no correlation between the degree of stomal dilatation and time of death. There was no evidence of erosion of Marlex through the gastric wall in dogs that survived to the time of death. These data suggest that stomal reinforcement with Marlex mesh effectively limits dilatation and is safe when sutured to itself rather than to the stomach. Reinforcement of the stapled partition with sutures may be necessary to eliminate staple-line disruption.

Animals↗