Grille-évolution de la dilatation gastrique &Torsion

[rclessard 0]

Je viens de mettre sur mon site une grille de l'évolution de la dilatation gastrique et la torsion d'estomac:

http://www.auchatelet.com/articles.cfm

Ce document sera bonifié au couras des prochaines semaines ...... et un article sur les antioxydants devraient également s'ajouter d'ici peu aux autres articles.

[Soleil05 0]

Je vais aller voir ça.

Puis-je te demander ton avis au sujet de la gastropexie préventive chez les races à risque (notamment faites rapidement lors de la stérilisation des femelles) ??


Merci le sujet m'intéresse beaucoup !

[rclessard 0]

cette chirurgie préventive empêche la torsion dans la mesure ou le vet qui l'a fait a de l'expérience pour bien tacker l,estomac...... combien de fois on entend que le danois étati tacké mais que les points ont lâchés et que le chien a torsionné

la chirurgie prévient la dilatation gastrique seulement

[Soleil05 0]

Si le vet est bon, le recommandez-vous à vos adoptants ?

(bien sur, en suivant quand même tout aussi rigoureusement les règles préventives générales par la suite)

[San_et_Amy 0]

très bien fait le tableau! Merci

[arnaque 0]

Je vais le faire imprimer et le mettre dans mon dossier «chien». Mon chum prend ça très à la légère j'espère que ça va le réveiller un peu, surtout que ce n'est pas si rare..

C'est un excellent tableau et je vais aller acheter ses gellules cette semaine.

[Vega03 0]

Bon, une "belle" torsion d'un superbe caniche royale crème! La madame est en pleure, je suis toute mal en dedans! Le pire, c'est qu'il n'a rien mangé, pas vraiment courru, rien qui serait un facteur de plus pour la dilation! Ca m'intrigue vraiment tout ca! Je vais aller têter des infos aux vets!

[Soleil05 0]

ca fait peur

[Vega03 0]

Oui ca fait peur, à date, toutes les torsions que j'ai vues ici, c'était caniche en 1er, danois en second et gros chiens mixés en 3e.

[Vega03 0]

Maudit que j'hais ca des fois travailler dans un hôpital...le caniche va être euthanasié! Il avait juste 10 mois! La cliente n'a aucun moyen financier! Bordel d'argent! arghhhh scusez moi, je suis frustrée de ca moi, un animal qui doit mourir à cause des maudits $$$

[Soleil05 0]

j'ai jouée à Sherlock un peu... voici ce que j'ai trouvé vite vite (années 2000-2008, articles vétérinaires)

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Benefits of prophylactic gastropexy for dogs at risk of gastric dilatation–volvulus, Michael P. Ward, , a, Gary J. Patronekb and Lawrence T. Glickmana a Department of Veterinary Pathobiology, Purdue University School of Veterinary Medicine, 725 Harrison Street, West Lafayette, IN 47907-2027, USA, Department of Environmental and Population Health, Tufts University School of Veterinary Medicine, Grafton, MA 01536, USA
Received 8 October 2002; accepted 14 May 2003. ; Available online 19 July 2003.


Abstract
The lifetime probability of death from gastric dilation–volvulus (GDV) for five dog breeds was estimated based on published breed-specific longevity and GDV incidence. These breeds were Great Dane, Irish Setter, Rottweiler, Standard Poodle and Weimaraner. Lifetime risk (95% CI) of GDV in these breeds ranged from 3.9% (0–11.2%) for Rottweiler to 36.7% (25.2–44.6%) for Great Dane.

A decision-tree analysis for prophylactic gastropexy—using lifetime probability of death from GDV and expected cost savings for veterinary services as outcome measures—was undertaken to determine the preferred course of action in several dog breeds. Prophylactic gastropexy was the preferred choice of action for all breeds examined, with the reduction in mortality (versus no gastropexy) ranging from 2.2-fold (Rottweiler) to 29.6-fold (Great Dane). Assuming a prophylactic gastropexy costs US$ 400, the procedure was cost-effective when the lifetime risk of GDV was ≥34%. The maximum and minimum estimated breakeven costs for the gastopexy procedure ranged from US$ 20 (Rottweiler) to US$ 435 (Great Dane). The cost-effectiveness of prophylactic gastropexy was most sensitive to the cost of treating GDV (US$ 1500). Prophylactic gastropexy raises ethical issues that need to be considered by veterinarians and dog breeders.




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Journal of the American Veterinary Medical Association
December 1, 2002, Vol. 221, No. 11, Pages 1576-1581
doi: 10.2460/javma.2002.221.1576
Prospective evaluation of laparoscopic-assisted gastropexy in dogs susceptible to gastric dilatation
Clarence A. Rawlings , DVM, PhD, DACVS Mary B. Mahaffey , DVM, MS, DACVR Shannon Bement , BS Chanda Canalis , BS
Departments of Small Animal Medicine, Physiology and Pharmacology, College of Veterinary Medicine, University of Georgia, Athens, GA 30602-7390. (Rawlings); Department of Anatomy and Radiology, College of Veterinary Medicine, University of Georgia, Athens, GA 30602-7390. (Mahaffey); Department of Small Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens, GA 30602-7390. (Bement, Canalis)

Objective—To determine long-term outcome associated with laparoscopic-assisted gastropexy in prevention of gastric dilatation-volvulus (GDV) in susceptible dogs and to evaluate use of laparoscopy to correct GDV.
Design—Prospective study.

Animals—25 client-owned large-breed dogs.

Procedure—23 dogs susceptible to GDV were referred as candidates for elective gastropexy. These dogs had a history of treatment for gastric dilatation, clinical signs of gastric dilatation, or family members with gastric dilatation. Laparoscopic-assisted gastropexy was performed. One year after surgery, abdominal ultrasonography was performed to evaluate the attachment of the stomach to the abdominal wall. Two dogs with GDV were also treated with laparoscopic-assisted derotation of the stomach and gastropexy.


Results—None of the dogs developed GDV during the year after gastropexy, and all 20 dogs examined ultrasonographically had an intact attachment. Another dog was euthanatized at 11.5 months for unrelated problems. Two dogs with GDV successfully underwent laparoscopic-assisted gastropexy after the stomach was repositioned.

Conclusions and Clinical Relevance—Laparoscopicassisted gastropexy resulted in a persisting attachment between the stomach and abdominal wall, an absence of GDV development, and few complications. Dogs with a high probability for development of GDV should be considered candidates for minimally invasive gastropexy. Carefully selected dogs with GDV can be treated laparoscopically. (J Am Vet Med Assoc 2002;221:1576–1581)


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Gastric dilatation-volvulus in dogs
Authors: Broome C.J.; Walsh V.P.
Source: New Zealand Veterinary Journal, Volume 51, Number 6, 1 December 2003 , pp. 275-283(9)
Publisher: New Zealand Veterinary Association


Abstract:

Gastric dilatation-volvulus (GDV) is a disease in which there is gross distension of the stomach with fluid or gas and gastric malpositioning. It causes pathology of multiple organ systems and is rapidly fatal. It is common in large- and giant-breed dogs. The disease appears to have a familial predisposition. Thoracic depth/width ratio also appears to predispose dogs to GDV. Implicated dietary factors include dietary particle size, frequency of feeding, speed of eating, aerophagia and an elevated feed bowl.

A fearful temperament and stressful events may also predispose dogs to GDV. Abdominal distension, non-productive retching, restlessness, signs of shock, tachypnoea and dyspnoea are possible clinical signs. Initial treatment includes treatment of shock and gastric decompression. Surgical treatment should be performed promptly. There are no studies comparing the use of different anaesthetic agents in the anaesthetic management of GDV. Pre-medication with an opioid/benzodiazepine combination has been recommended. Induction agents that cause minimal cardiovascular changes such as opioids, neuroactive steroidal agents and etomidate are recommended.

Anaesthesia should be maintained with an inhalational agent. Surgical therapy involves decompression, correction of gastric malpositioning, debridement of necrotic tissue, and gastropexy. Options for gastropexy include incisional, tube, circumcostal, belt-loop, incorporating, and laparoscopic gastropexy. Expected mortality with surgical therapy is 15-24%. Prognostic factors include mental status on presentation, presence of gastric necrosis, presence of cardiac arrhythmia and plasma lactate levels. Prophylactic gastropexy should be considered in dogs identified as being at high risk.


* * *

Anna V. Eggertsdóttir DVM, PhD, Øyvind Stigen DVM, PhD, Lars Lønaas DVM, PhD, Marianne Langeland DVM, PhD, Morten Devor DVM, Gunvor Vibe-Petersen DVM, PhD, Thomas Eriksen DVM, PhD (2001) Comparison of the Recurrence Rate of Gastric Dilatation with or Without Volvulus in Dogs after Circumcostal Gastropexy Versus Gastrocolopexy
Veterinary Surgery 30 (6) , 546–551 doi:10.1053/jvet.2001.28439


Objective—To compare the recurrence rate of acute gastric dilatation with or without volvulus (GDV) after circumcostal gastropexy (CCGP) or gastrocolopexy (GCP) in dogs.

Study Design—A prospective, double-blind, multicenter, randomized, controlled, clinical trial with two groups (A and B).

Animals—Fifty-four client-owned dogs presented for treatment of GDV.

Methods—Dogs with acute GDV that had not previously had a gastropexy performed were included. The preoperative treatment before gastropexy was standardized. A CCGP was performed on dogs in group A, and a GCP was performed on dogs in group B. Postoperative treatment was standardized, but deviation did occur according to the special needs of particular patients. A minimal follow-up time of 180 days was required for dogs not excluded from the study. The median follow-up time in group A was 700 days; in group B, it was 400 days. The occurrence of abdominal pain and gastrointestinal problems after surgery were recorded by the owners.

Results—There was no significant difference in the recurrence rate of GDV between the two groups. At the end of the study, the recurrence rate was 9% and 20% in group A and in group B, respectively.

Conclusions—Both surgical techniques are effective in preventing recurrence of GDV.



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American Journal of Veterinary Research
January 2002, Vol. 63, No. 1, Pages 47-52
doi: 10.2460/AJVR.2002.63.47
Relationship between incidence of gastric dilatation-volvulus and biometeorologic events in a population of military working dogs
John R. Herbold , DVM, MPH, PhD George E. Moore , DVM, MS Terry L. Gosch , DVM, MPH B. Sue Bell , PhD
School of Public Health, University of Texas, San Antonio, TX 78229-3900. (Herbold, Gosch, Bell); Defense Military Working Dog Veterinary Service, 1219 Knight St, Lackland Air Force Base, TX 78236. (Moore); Department of Veterinary Science, Army Medical Department Center and School, Fort Sam Houston, TX 78234. (Moore); Alaska District Veterinary Command, Fort Wainwright, AK 99703. (Gosch); National Cancer Institute, Rockville, MD 20852 (Bell)


Objective—To calculate the monthly incidence of gastric dilatation-volvulus (GDV) in a population of military working dogs during a 5-year period and determine whether there was an association with synoptic climatologic indices.

Sample Population—Medical records of all military working dogs housed at Lackland Air Force Base,Tex, from Jan 1, 1993 to Dec 31, 1997.

Procedure—Confirmed cases of GDV were identified from evaluation of medical records and used to calculate incidence of GDV. Factor analysis of local climatologic data was used to classify each day into 1 of 8 meteorologically homogeneous types of days for this location. Occurrence of GDV was compared with frequency of occurrence of synoptic climatologic days.

Results—48 cases of GDV were identified from January 1993 through December 1997. Mean monthly incidence was 2.5 cases/1,000 dogs at risk (range, 0 to 18.5 cases/1,000 dogs; median, 2.5 cases/1,000 dogs). A seasonal increase in incidence of GDV was detected, because half of the episodes were during November, December, and January. An association with a specific synoptic climatologic day was not detected.

Conclusion and Clinical Relevance—Seasonal fluctuations in incidence of GDV may be associated with external factors that precipitate physiologic changes resulting in GDV. Although a specific cause-effect relationship was not documented, clinicians must be alert for the potential of seasonal variation in incidence of GDV and accordingly heighten their index of suspicion for the condition, particularly in populations of dogs that are predisposed to development of GDV. (Am J Vet Res 2002;63:47–52)


* * *

Climatic conditions as a risk factor in canine gastric dilatation-volvulus R. Dennler, , a, D. Kocha, M. Hassigb, J. Howardc and P. M. Montavona a Small Animal Department, Clinic for Small Animal Surgery, University of Zurich, Winterthurerstrasse 260, CH-8057, Zurich, Switzerland b Large Animal Department, Section for Heard Health, University of Zurich, Winterthurerstrasse 260, CH-8057, Zurich, Switzerland c Department of Clinical Veterinary Medicine, Clinic for Small Animal Internal Medicine, University of Bern, Länggass-Strasse 128, 3012, Bern, Switzerland, Accepted 24 December 2003. Available online 12 January 2005.


Abstract
Canine acute gastric dilatation-volvulus (GDV) is a life-threatening condition of multifactorial origin. The risk of developing GDV is influenced by a variety of factors, including breed, age, gender, temperament, diet and management. A relationship between seasonal variations and the frequency of GDV has been previously documented although no association was found with any specific climatic event.

Variables in weather conditions within a defined geographic region were investigated in a retrospective study of 287 client-owned dogs diagnosed with GDV between 1992 and 1999. Monthly incidences were evaluated and differences in atmospheric temperature, humidity and pressure between days in which GDV cases were observed and days in which no case was presented were examined. Although temperature was significantly associated with the occurrence of GDV, the difference in temperatures between days with and days without GDV cases was so small that it is unlikely to be of clinical relevance. Moreover, no significant association was found between GDV occurrence and atmospheric pressure or humidity, and a seasonal variation in GDV incidence was not observed.

* * *


Journal of the American Animal Hospital Association 42:147-150 (2006) © 2006 American Animal Hospital Association, Case Report,
Recurrence of Gastric Dilatation-Volvulus After Incisional Gastropexy in a Rottweiler, Scott P. Hammel, DVM and Roberto E. Novo, DVM, MS, Diplomate ACVS, From the Department of Small Animal Surgery, College of Veterinary Medicine, University of Minnesota, St. Paul, Minnesota 55108.

An adult, castrated male rottweiler with a history of gastric dilatation-volvulus (GDV), which was treated 4 months previously by surgical gastric resection and incisional gastropexy, had a recurrence of clinical signs. Abdominal exploratory surgery revealed a 180°-clockwise GDV, with a stretched adhesion at the original gastropexy site. The stomach was repositioned, and additional gastropexies were performed adjacent to the original gastropexy site and at the gastric fundus. The recurrence of GDV in this dog with an intact gastropexy suggested that a risk for volvulus remains after therapeutic incisional gastropexy.

[Soleil05 0]

La suite

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Gastric Dilatation-Volvulus Syndrome: Outcome and Factors Associated with Perioperative Mortality, J. ZATLOUKAL1, M. CRHA2, L. LEXMAULOVÁ2, A. NEâAS2, T. FICHTEL2, 1Department of Diagnostic Imaging, Small Animal Clinic, University of Veterinary, and Pharmaceutical Sciences, Brno, Czech Republic, 2Department of Surgery and Orthopedics, Small Animal Clinic, University of Veterinary, and Pharmaceutical Sciences, Brno, Czech Republic, Received November 12, 2004, Accepted November 10, 2005, Abstract, Zatloukal J., M. Crha, L. Lexmaulová, A. Neãas, T. Fichtel: Gastric Dilatation-Volvulus Syndrom: Outcome and Factors Associated with Perioperative Mortality. Acta Vet. Brno
2005, 74: 621-631.


Gastric dilatation-volvulus (GDV) or gastric dilatation (GD), were diagnosed in 173 dogs during the period from 1997 to 2001. Risk factors possibly associated with higher mortality in cases of GDV were evaluated. Variables suitable for quantitative evaluation were examined by the Student’s t- test with regard to the risk of death. We characterised groups of dogs with potential risk factors (age, body weight, time lapsed from the last feeding until presentation, time lapsed from the onset of clinical signs until presentation, time lapsed from the last feeding until the onset of clinical signs), and compared the groups with regard to the risk of death, using the χ2- test.

There were no differences between the dying and surviving patients as to their age, body weight and time lapsed from the last feeding until the onset of clinical signs. The time lapsed from the onset of clinical signs until presentation at the clinic was a significant factor associated with a lower survival rate. Mortality in dogs with GDV was 26.3% (36/137). Significantly higher mortality (p < 0.01) was found in dogs with gastric necrosis. Gastric necrosis in dogs with GDV is responsible for a 6.5 times higher risk of death compared to patients without gastric necrosis. There was also higher mortality in dogs after splenectomy (p < 0.05). Results of our study suggest that the most important prognostic factor is a timely treatment following the onset of clinical signs of GDV.


* * *

Long-Term Results with a New Introducer Method with Gastropexy for Percutaneous Endoscopic Gastrostomy. ORIGINAL CONTRIBUTION
Australian Occupational Therapy Journal. 101(6):1229-1234, June 2006.
Dormann, Arno J. M.D. 12; Wejda, Bernd M.D. 3; Kahl, Stefan M.D. 2; Huchzermeyer, Hans Prof. M.D. 3; Ebert, Matthias P. M.D. 4; Malfertheiner, Peter Prof. M.D. 2

Abstract:

OBJECTIVE: Percutaneous endoscopic gastrostomy (PEG) using the pull-technique is the standard method for enteral feeding in patients with swallowing disorders. A different introducer technique with endoscopically controlled gastropexy is available avoiding oropharyngeal passage with the internal bumper. The aim of the study was to assess long-term safety of this technique.

MATERIAL AND METHODS: Between January 1999 and November 2001, 684 patients received a PEG in our prospective cohort trial. In 92.5% of cases a PEG was applied using the pull-through technique. In 6.7% of the patients (40 males, 6 females, mean age 60.6 yr) primary PEG application using the pull-through technique was not possible and an endoscopical controlled introducer PEG (Cliny PEG 13 CH (= 13 F), AP Nenno, Germany) with two gastropexies was placed. Data collection criteria included application success, infectious complications (within 180 days), other complications (within 180 days), and mortality (within 180 days). Procedure, catheter change, and follow-up were standardized.

RESULTS: PEG placement was successful in all patients. During initial follow-up we saw a low rate of minor problems. In one case a peristomal peritonitis was seen due to detachment of two gastropexy sutures. During long-term follow-up only one local infection requiring antibiotic treatment occurred on day 14. We observed no treatment related mortality. In most of the patients the primary catheter was changed into a secondary system as scheduled. The average observation period was 131.8 days (range: 15-180 days).

CONCLUSION: The Cliny PEG 13 CH can be placed safely in an endoscopically controlled introducer procedure with dual gastropexy. Long-term follow-up of the patients revealed only minor complications. Primary indication is given in patients in whom PEG placement using the pull-through technique is not possible.

[Soleil05 0]

Vega a écrit:

Maudit que j'hais ca des fois travailler dans un hôpital...le caniche va être euthanasié! Il avait juste 10 mois! La cliente n'a aucun moyen financier! Bordel d'argent! arghhhh scusez moi, je suis frustrée de ca moi, un animal qui doit mourir à cause des maudits $$$

[Invité]

arnaque a écrit:

Je vais le faire imprimer et le mettre dans mon dossier «chien». Mon chum prend ça très à la légère j'espère que ça va le réveiller un peu, surtout que ce n'est pas si rare..

C'est un excellent tableau et je vais aller acheter ses gellules cette semaine.

Il ne devrait pas, POrto est mort d'une torsion !!

[Vega03 0]

Bon, ce sujet commence sérieusement à me passionner! Encore une torsion ce soir, un superbe berger allemand. Les proprios ont décidé de l'opérer par contre, YÉ Je discute donc de ca avec la vet, je lui parle de la gastropexie, etc...elle, elle est à 100% pour cette chirurgie, elle me disait que ca réduisait à 96% le risque de torsion. Je sais pas ou ils prennent toutes leurs données, je n'ai pu discuter longuement à cause que l'urgence débordait ce soir. Mais c'est sur que je vais en discuter et avec plus de un vétérinaire pour avoir différents avis.

[Soleil05 0]

merci de me tenir au courrant des avis des vétos, je l'envisage sérieusement !

une question ; ils font quoi exactement pendant la chirurgie ? On ouvre, on replace, on ferme ??

[arnaque 0]

Citation :

Il ne devrait pas, POrto est mort d'une torsion !!

Raison de plus pour s'inquièter..

Va falloir que je prenne le temps de bien lui expliquer parce qu'en plus, lui est contre le fait de dépenser une fortune sur la santé d'un animal..mais je l'ai quand même convaincu de l'importance de choisir un éleveur éthique..

[Soleil05 0]

arnaque a écrit:

lui est contre le fait de dépenser une fortune sur la santé d'un animal...

Problème similaire ici ...

[rclessard 0]

pour ce qui est de la gastropexie, de ce que je peux voir dans le danois, ca n'empeche pas la dilatation ...... et ça n,empeche aps la torsion si les tacks lachent .... alors ilf aut que ce soit un vet habitué ..... et dans le danois, un danois qui a bloate, malheureusment risque de blaoter encore.