{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T09:03:50Z","timestamp":1771232630964,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T00:00:00Z","timestamp":1641427200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the outcomes of dogs surgically treated for gastric dilatation volvulus (GDV) after rapid versus prolonged medical stabilization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective cohort study, monoinstitutional.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample Population<\/jats:title><jats:p>One hundred and sixty\u2010two dogs with GDV.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Dogs presenting with a GDV were allocated to 1 of 2 groups,<jats:italic>immediate<\/jats:italic>or<jats:italic>delayed<\/jats:italic>. In the<jats:italic>immediate<\/jats:italic>group, dogs were stabilized for 90\u2009min prior to undergoing surgery. In the<jats:italic>delayed<\/jats:italic>group, dogs underwent surgery after at least 5\u00a0h of stabilization. Medical stabilization included gastric decompression and placement of an indwelling nasogastric tube to prevent further gastric dilatation in all dogs. Short\u2010term outcomes were compared between surgical timings by univariate and multivariate analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Dogs (<jats:italic>n<\/jats:italic>\u00a0=\u00a089) in the<jats:italic>immediate<\/jats:italic>group underwent surgery a median time of 2.1\u00a0h after presentation (range 1.9\u20102.5\u00a0h), whereas those in the<jats:italic>delayed<\/jats:italic>surgery group (<jats:italic>n<\/jats:italic>\u00a0=\u00a073) were operated a median time of 9.8\u00a0h (range 5.4\u201013.7\u00a0h) after presentation. Survival rates did not differ between dogs undergoing immediate or delayed surgery at discharge (70\/89 and 60\/73, respectively) or at 1\u2009month postoperatively (68\/89 and 55\/73, respectively). The degree of gastric torsion was differently distributed between the 2 groups (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.05). In the<jats:italic>immediate<\/jats:italic>group, 19, 52, and 9 dogs had a 0\u00b0, 180\u00b0 and 270\u00b0 gastric torsion respectively, whereas in the<jats:italic>delayed<\/jats:italic>group, 27, 32, and 5 dogs had a 0\u00b0, 180\u00b0 and 270\u00b0 gastric torsion respectively. Hyperlactatemia 24\u2009h after initiation of fluid therapy was associated with an increased in\u2010hospital mortality risk and at 1\u2009month postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>No survival benefit was detected as a result of proceeding to surgery after either a rapid or a prolonged medical stabilization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Significance<\/jats:title><jats:p>The aggressive stabilization and monitoring protocol described here can be considered as an alternative to stabilize dogs with GDV prior to surgery within 13.7\u00a0h of presentation. Further research is required to investigate the potential risks and benefits of prolonged over rapid stabilization and to identify candidates for each approach.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.13763","type":"journal-article","created":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T12:18:15Z","timestamp":1641471495000},"page":"843-852","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Outcomes of dogs undergoing surgery for gastric dilatation volvulus after rapid versus prolonged medical stabilization"],"prefix":"10.1111","volume":"51","author":[{"given":"Elo\u00efse","family":"Lhuillery","sequence":"first","affiliation":[{"name":"CHV des Cordeliers Meaux France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ludivine","family":"Velay","sequence":"additional","affiliation":[{"name":"CHV des Cordeliers Meaux 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