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Modified tube gastropexy using a mushroom‐tipped silicone catheter for management of gastric dilatation‐volvulus in dogs

Belch, A., Rubinos, C., Barnes, D. C., Nelissen, P.
The journal of small animal practice 2017 v.58 no.2 pp. 79-88
catheters, dogs, enteral feeding, peritonitis, silicone, surgery
OBJECTIVES: To report the short‐ and long‐term complications and clinical outcomes of a cohort of dogs managed for gastric dilatation‐volvulus using a modified right‐sided tube gastropexy technique. MATERIALS AND METHODS: Retrospective case series. RESULTS: Of 31 dogs treated, 29 (93·5%) had an excellent short‐term outcome, and gastric dilatation‐volvulus did not recur in any dog. Twenty‐six dogs (84%) were initially fed via the gastrostomy tube postoperatively; three (9·7%) suffered a major complication including septic peritonitis (n=1), and premature tube removal (n=2). Fourteen dogs (45·1%) had minor complications including mild, self‐limiting discharge from the stoma site in 13. CLINICAL SIGNIFICANCE: Modified tube gastropexy using a mushroom‐tipped silicone catheter is an effective and safe surgical method for the management of gastric dilatation‐volvulus. The gastrostomy tube allowed early enteral feeding and easy administration of medications, including gastroprotectants.