Disorders of the stomach
In the professional health literature, this problem is called a syndrome dilatation and stomach torsion. According to the English title of gastric dilatation and volvulus is often used abbreviation GDV. The disease, which may ask, is very serious and in my opinion every farmer large and giant breeds of dogs, it would have at least basic information. First, it is necessary to mention that this is an acute to peracutely state. It follows that the sooner such a patient gets to the professional workplace, the greater the chances of his recovery. Reduction may be described as a significant problem filling the stomach, either food or air. This stomach is then very susceptible to rotate along its long axis. Predisposed are mainly large and giant breeds with the deep chests, such as the Doberman pinscher,German shepherd and Irish vlkodav. From own experience I have with this severe condition was also sarpeju. Can get a very important issue, as syndrome gastric dilatation and torsion actually incurred? Among the predisposing factors such as feeding only once a day and more to feed, and excessive physical burden just after feeding, omnivorous and feed intake of air swallowing their own patient, which we call aerophagia. For further predisposing factor can be seen feeding from a height. It seems that in older dogs is a risk of more likely. Frequently the problem arises evening and at night, when does the evening feeding. The owner may notice a specific behavior - restlessness, reluctance to lie. Subsequently, if the already mentioned rotation stomach,is to prevent the outflow of saliva through the esophagus into the stomach cavity. Animals therefore saliva, or tries unsuccessfully to vomit. When these indices should be no delay and the owner did not immediately seek professional help. Now a little on the therapy. Specific description of the procedure going beyond the framework of this communication, therefore, present here the most steps. Previously apply the principle that the patient must operate as soon as possible. We already know that the most important thing is self-stabilizing organoveho shock radical infusion therapy and the decompression of the stomach. In the first phase, it is appropriate to perform percutaneous trokarizaci injection needle, and the general said forgive accumulated air in the stomach. Consequently, it is necessary, and sedation in the patient, perform probing gastric probe and it is possible to evacuate the contents out.The radical infusion therapy administered to the patient is considered a large number of solution for infusion to occur as quickly as possible to stabilize the cardiovascular system. If you manage to stabilize the body and surgical intervention is not in the acute state of need. Now I would like to explain what is the nature of surgery. With the surgeon to perform laparotomy exploraci the abdominal cavity. Found the degree of rotation of the stomach and to check whether there was damage to its own such as the spleen or stomach wall. Another important step is to anchor the stomach in its physiological position of the abdominal wall. This surgical procedure is called gastropexe. Meaning gastropexe is simple.We are in the same operation preventable recurrence above described acute state sometime in the future. When timely and correct treatment is approximately 15% mortality if the condition lasts longer and is heavier damage to the organism, mortality is higher than 30%.
Now a few words for the prophylaxis. This most basic measures can be done every farmer himself. Feeding your dog several times a day. For working dogs, if possible, delay the feeding time from the work load. If the farmer fed the commercial feed, it is recommended to wet granules. The increase in volume of pellets in the dish and will not in the stomach. For a very effective prevention is considered already mentioned gastropexe. Abroad are increasingly used for minimally invasive laparoscopy.The operation is not as burdensome for the body as a traditional surgery. Can be treated preventively and younger animals, and thus minimize the risk of developing syndrome, gastric dilatation and torsion sometimes later in life. The disadvantage is that the method is demanding on the surgical tool and very dependent on operator experience. It can be assumed that it will not last for long, when in the Czech Republic found that the application procedure and the interest of the owners of the animals.
DVM. Leos Krkoska,Ph.D.
Animal Clinic Ltd.
International 1320
Prague 6 - Suchdol
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