GDV

Question 1

Goodrich, JSAP, 2013:
Orogastric tubing vs gastric trocarization for gastric decompression

1. Success rates of orogastric tubing vs gastric trocarization?
2. What % of dogs required splenectomy?
3. What % of dogs required gastric resection or invagination?
4. What % of the dogs that died had DIC?
5. Was the method of gastric decompression associated with gastric compromise or survival to discharge?

Answer 1

Goodrich, JSAP, 2013:

1. Success rates: 77% for orogastric tubing vs 86% for gastric trocarization
2. 7% required splenectomy
3. 11% required gastric resection or invagination
4. 4% of the dogs that died had DIC
5. No, the method of gastric decompression was not associated with gastric compromise or survival to discharge

Question 2

Sartor, JAVMA, 2013:
Association between previous splenectomy and GDV

Odds of GDV in dogs with a history of splenectomy vs dogs without a history of splenectomy?

Answer 2

Sartor, JAVMA, 2013:

Odds of GDV in dogs with a history of splenectomy was 5 times those of dogs without a history of splenectomy

Question 3

Arbaugh, Vet Surg, 2013:
Glycomer 631 vs Glycomer 631 Knotless for laparoscopic-assisted and total laparoscopic gastropexy

1. Did suture size have an effect on maximum load to failure?
2. Compare knotless glycomer 631 with standard glycomer 631 for incisional gastropexy.

Answer 3

Arbaugh, Vet Surg, 2013:

1. No, suture size had no effect on maximum load to failure
2. Knotless glycomer 631 had comparable, if not greater, load to failure than a standard suture of similar composition when used in canine incisional gastropexy

Question 4

Culp, Vet Surg, 2016:
Percutaneous radiologic gastropexy

Maximal tensile strength with open incisional gastropexy vs laparoscopic-assisted incisional gastropexy vs percutaneous radiologic gastropexy?

Answer 4

Culp, Vet Surg, 2016:

Maximal tensile strength was no different between open incisional gastropexy, laparoscopic-assisted incisional gastropexy and percutaneous radiologic gastropexy

Question 5

Fox-Alvarez, JAVMA, 2019:
Ultrasound-guided temporary percutaneous T-fastener gastropexy vs percutaneous trocarization for sustained gastric decompression

1. Complication(s) of percutaneous T-fastener gastropexy?
2. Complication(s) of percutaneous trocarization?

Answer 5

Fox-Alvarez, JAVMA, 2019:

1. Inadvertent splenic or jejunal placement of the T-fastener (25% of cases)
2. Malpositioned and ineffective trocar placement (13% of cases)

Question 6

Webb and Monnet, Vet Surg, 2019:
Incisional gastropexy

1. Load to failure for 4cm vs 2cm incisional gastropexies?
2. Effect of 1 vs 2 suture lines on biomechanical strength of incisional gastropexies?

Answer 6

Webb and Monnet, Vet Surg, 2019:

1. Incisional gastropexies performed with a 4cm incision had a higher load to failure than those performed with a 2cm incision
2. Incisional gastropexies performed with 1 or 2 suture lines did not have an effect on the biomechanical strength of the gastropexy