{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T04:27:36Z","timestamp":1773030456874,"version":"3.50.1"},"reference-count":29,"publisher":"American Veterinary Medical Association (AVMA)","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2019,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec id=\"s001\">\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>To evaluate the feasibility of ultrasound-guided, temporary, percutaneous T-fastener gastropexy (TG) and gastrostomy catheter (GC) placement for providing sustained gastric decompression in dogs with acute gastric dilatation-volvulus (GDV) and to compare findings with those of trocarization.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s002\">\n<jats:title>ANIMALS<\/jats:title>\n<jats:p>16 dogs with GDV.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s003\">\n<jats:title>PROCEDURES<\/jats:title>\n<jats:p>Dogs were randomly assigned to undergo gastric decompression by means of percutaneous trocarization (trocar group; n = 8) or temporary TG and GC placement (TTG+GC group; 8) with ultrasound guidance. The gastric volvulus was then surgically corrected, and the decompression sites were examined. Outcomes were compared between groups.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s004\">\n<jats:title>RESULTS<\/jats:title>\n<jats:p>The proportion of dogs with successful decompression did not differ significantly between the TTG+GC (6\/8) and trocar (7\/8) groups; median procedure duration was 3.3 and 3.7 minutes, respectively. After the failed attempts in the TTG+GC group, the procedure was modified to include ultrasound guidance during T-fastener placement. The decrease in intragastric pressure by 5 minutes after trocar or GC insertion was similar between groups. For dogs in the TTG+GC group, no significant difference in intragastric pressure was identified between 5 and 60 minutes after GC insertion. Complications included inadvertent splenic or jejunal placement in 2 dogs (TTG+GC group) and malpositioned and ineffective trocar placement in 1 dog (trocar group). All dogs survived for at least 2 weeks.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s005\">\n<jats:title>CONCLUSIONS AND CLINICAL RELEVANCE<\/jats:title>\n<jats:p>Ultrasound-guided, temporary, percutaneous TG and GC placement was safe and effective at providing sustained gastric decompression in dogs with GDV, suggesting that this technique would be ideal for dogs in which surgical delays are anticipated or unavoidable.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/javma.255.9.1027","type":"journal-article","created":{"date-parts":[[2019,10,16]],"date-time":"2019-10-16T14:55:38Z","timestamp":1571237738000},"page":"1027-1034","source":"Crossref","is-referenced-by-count":4,"title":["Evaluation of a novel technique involving ultrasound-guided, temporary, percutaneous gastropexy and gastrostomy catheter placement for providing sustained gastric decompression in dogs with gastric dilatation-volvulus"],"prefix":"10.2460","volume":"255","author":[{"given":"W. Alexander","family":"Fox-Alvarez","sequence":"first","affiliation":[{"name":"1Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL 32608."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Brad","family":"Case","sequence":"additional","affiliation":[{"name":"1Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL 32608."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel D.","family":"Lewis","sequence":"additional","affiliation":[{"name":"1Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL 32608."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley C.","family":"Joyce","sequence":"additional","affiliation":[{"name":"1Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL 32608."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsten L.","family":"Cooke","sequence":"additional","affiliation":[{"name":"1Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL 32608."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beau","family":"Toskich","sequence":"additional","affiliation":[{"name":"2Department of Radiology-Vascular Interventional Radiology, Mayo Clinic, 4500 San Pablo Rd S, Jacksonville, FL 32224."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"key":"ref1","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"1492","DOI":"10.2460\/javma.2000.217.1492","article-title":"Non-dietary risk factors for gastric dilatation-volvulus in large and giant breed dogs","volume":"217","author":"Glickman","year":"2000"},{"key":"ref2","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"40","DOI":"10.2460\/javma.2000.216.40","article-title":"Incidence of and breed-related risk factors for gastric dilatation-volvulus in dogs","volume":"216","author":"Glickman","year":"2000"},{"key":"ref3","series-title":"J Am Anim Hosp 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