Gastric dilatation volvulus: It doesn’t have to make your stomach turn!

Bronwyn Fullagar BVSc(Hons), MS, DACVS-SA

1. Which of the following does NOT contribute to the pathophysiology of shock (decreased oxygen delivery to the tissues) in patients with gastric dilatation volvulus?

a) Increased cardiac preload

b) Increased intraabdominal pressure

c) Increased intragastric pressure

d) Decreased coronary blood flow

e) Ventricular arrhythmias

2. What is the prognosis for survival to discharge from hospital in patients with GDV?

a) 7-10%

b) 23-40%

c) 45-55%

d) 73-90%

e) 85-95%

3. Which of the following factors is NOT associated with increased mortality in patients with GDV?

a) Duration of clinical signs >6 hours

b) Gastrectomy

c) Septic peritonitis

d) Intra-operative hypotension

e) Blood lactate on presentation <9.0mmol/L

4. Which location is most appropriate to pexy the stomach for an incisional gastropexy to prevent GDV?

a) Left body wall, caudal to last rib

b) Left body wall, at rib 10

c) Right body wall, caudal to last rib

d) Right body wall, adjacent to urinary bladder

e) Incorporate stomach into linea alba closure