Surgery of the Alimentary Tract

GDV (Gastric Dilation Volvulus Syndrome)
1. Clinical signs: restlessness, distended abdomen, depression, salivation, retching, flank watching, collapse, tachycardia, pale MMs + increased CRT
2. Deep chested breeds: GSD, Pointers, Greyhounds. Normally fed + then exercised
3. Gastropexy
4. Decompress stomach with tube/trocarize with 16-18G needle
5. Surgery: decompress stomach, return it to normal position, evaluate organs
  1. Splenectomy may be indicated
6. Complications: peritonitis, seromas, gut ileus, wound dehiscence, vomiting, wound infection
7. Close monitoring - guarded prognosis!
8. IV fluids until eating well, gradual introduction of food (bland) on vets discretion.
9. Prevent: never exercise after food, feed from height, feed twice daily
Foreign Bodies
1. Clinical signs: vomiting, anorexia, dehydration, abdominal discomfort
2. Radiography, contrast media, palpation
3. Ex-Lap, Gastrotomy, Enterotomy, Enterectomy
  1. Followed by abdominal lavage
  2. Use of omentum
4. Anastomosis
5. Post-op care: IV fluids until eating well, small bland meals, observation for V+D, monitor for signs of peritonitis, gradual intro of normal diet
6. Linear FBs
Intussusception
1. Invagination of one part of the intestine into the other
2. Causes: Enteritis, intestinal parasites, FBs, neoplasia, previous surgery
3. CSs: Vomiting, diarrhoea, dehydration, abdominal pain, tenesmus
4. Surgery: milking, if not then anastomis and enteroplication to preven future reoccurances
5. Post-op care: as for FBs

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Surgery of the Alimentary Tract

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	Created by sarah.denise almost 11 years ago