{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T22:38:08Z","timestamp":1773009488299,"version":"3.50.1"},"reference-count":35,"publisher":"American Veterinary Medical Association (AVMA)","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2002,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Objective<\/jats:bold>\u2014To determine long-term outcome associated\nwith laparoscopic-assisted gastropexy in\nprevention of gastric dilatation-volvulus (GDV) in\nsusceptible dogs and to evaluate use of\nlaparoscopy to correct GDV.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Design<\/jats:bold>\u2014Prospective study.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Animals<\/jats:bold>\u201425 client-owned large-breed dogs.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Procedure<\/jats:bold>\u201423 dogs susceptible to GDV were\nreferred as candidates for elective gastropexy. These\ndogs had a history of treatment for gastric dilatation,\nclinical signs of gastric dilatation, or family members\nwith gastric dilatation. Laparoscopic-assisted gastropexy\nwas performed. One year after surgery,\nabdominal ultrasonography was performed to evaluate\nthe attachment of the stomach to the abdominal\nwall. Two dogs with GDV were also treated with\nlaparoscopic-assisted derotation of the stomach and\ngastropexy.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Results<\/jats:bold>\u2014None of the dogs developed GDV during\nthe year after gastropexy, and all 20 dogs examined\nultrasonographically had an intact attachment.\nAnother dog was euthanatized at 11.5 months for\nunrelated problems. Two dogs with GDV successfully\nunderwent laparoscopic-assisted gastropexy after\nthe stomach was repositioned.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Conclusions and Clinical Relevance<\/jats:bold>\u2014Laparoscopicassisted\ngastropexy resulted in a persisting attachment\nbetween the stomach and abdominal wall, an\nabsence of GDV development, and few complications.\nDogs with a high probability for development of\nGDV should be considered candidates for minimally\ninvasive gastropexy. Carefully selected dogs with\nGDV can be treated laparoscopically. 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