Gastropexy

Gastropexy (commonly known as a "pexy" or "tacked stomach") is an elective surgery which involves permanently adhering one end of the stomach to the body wall. This procedure is the most effective way to prevent Gastric Dilation and Volvulus (GDV), which is a complication of Bloat. It is often performed at the time of spay or neuter, while a dog is already under anesthesia, and is recommended for many large and giant breed dogs, particularly those dogs who are considered to be deep-chested.  Any dog over 99 lbs is considered to have at least a 20% chance of bloating in their lifetime, and should be considered for gastropexy.

Breeds for which gastropexy is commonly recommended:

  • Great Dane

  • Golden Retriever

  • Labrador Retriever

  • German Shepherd

  • Setter breeds

  • St. Bernard

  • Weimeraner

What is Bloat and GDV?

Bloat is when the stomach becomes filled and distended with air, GDV is a complication which occurs when the air-filled stomach twists on itself, compromising blood flow to the stomach tissue:

Factors that increase risk of bloat:

  • Family history
  • Being thin or underweight
  • Feeding only 1 meal per day
  • Eating rapidly
  • Feeding from an elevated bowl
  • Restricting access to water
  • Diets with fat in the first 4 ingredients
  • Fearful or anxious temperament
  • Males are more likely to bloat than females, and bloat occurs more commonly in dogs over age 7.
  • Contrary to popular belief, cereal ingredients such as soy, wheat, or corn in the first four ingredients of the ingredient list do not increase the risk of bloat.

Factors that decrease risk of bloat:

  • Including canned food in diet
  • Eating 2 or more meals per day
  • Feeding a a dry food containing a calcium-rich meat meal (such as meat/lamb meal, fish meal, chicken by-product meal, meat meal, or bone meal) listed in the first four ingredients of the ingredient list.

Signs of bloating and GDV include heavy panting, painful stomach, distended abdomen, and non-productive retching, although dogs may bloat without developing these specific symptoms. If a dog does bloat, they require emergency treatment by a veterinarian. Without treatment most bloated dogs will die within a matter of hours (if they have not previously received a gastropexy).

In patients who have already received a gastropexy, the stomach can usually be safely decompressed and the patient stabilized quickly. Dogs who have not had a gastropexy often require emergency surgery to correct the torsion of the stomach and a pexy to prevent recurrence. In many dogs with GDV, sections of the stomach tissue have died from lack of blood flow and must be removed, which increases the likelihood of post-surgical complications. Without gastropexy up to 75% of these dogs will bloat again in their lifetime.

The most effective way to prevent GDV is to have your dog receive a gastropexy at the time of spay or neuter.

Gastropexy can also be performed at any time on an adult dog. This procedure can be performed safely, and incision size can be reduced significantly with the use of laparascopic equipment available at Russell Ridge Animal Hospital. If you think your pet is a candidate for gastropexy please schedule an appointment with your veterinarian today.