• Prophylactic “belt loop” gastropexy

Gastric dilatation can be complicated if the stomach twists, creating a GDV (gastric dilatation and volvulus). This is a rapid killer. Few conditions are more acute emergencies than this.

This 10-year-old Weimeraner, Marley, had recently presented to its own vets for gastric dilatation. They successfully treated this. Options for treatment of gastric dilatation without volvulus include passing a stomach tube. GDV always requires surgery if the dogs are to have a fighting chance, as the stomach needs derogating.

Once dilatation has happened once, it can easily happen again in the future; so Marley came to us for a prophylactic (preventative) gastropexy (creation of a permanent adhesion between the stomach and the body wall) to stop any future dilatation progressing into a GDV. We made a flap from a half thickness incision into his stomach wall, raising a flap of stomach wall muscle and passing it round a rib and then suturing the flap back into place. The so-called “belt loop gastropexy”. The last rib in this dog was a pretty slim structure, but it still offers a firm anchor for the pexy, and the fibrosis (scar tissue) that will form will weld the stomach wall firmly to the body wall. So that stomach won’t be twisting anywhere in future!

26th March 2016