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Peer-reviewed veterinary case report

Gastric dilation-volvulus risk and survival in UK dogs at emergency

By O'Neill, D G et al.Ā·Published in The Journal of small animal practiceĀ·2017Ā·The Royal Veterinary College, United KingdomĀ·View original on PubMed →

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Original publication title: Gastric dilation-volvulus in dogs attending UK emergency-care veterinary practices: prevalence, risk factors and survival.

Species:
dog
Stomach & digestionDogs

Plain-English summary

A study found that gastric dilation-volvulus (GDV), a serious condition where the stomach twists, was diagnosed in 492 dogs visiting emergency clinics in the UK. Breeds like Great Danes, Akitas, and Dogue de Bordeaux were at the highest risk, especially as they aged. About half of the dogs presented alive survived after treatment, but nearly 80% of those that underwent surgery were able to go home. If you have a large breed dog, it's important to be aware of the symptoms of GDV, as prompt treatment can significantly improve survival chances.

People also search for: dog stomach bloating symptoms Ā· Great Dane GDV treatment Ā· Akita emergency vet care Ā· dog surgery recovery time

Abstract

OBJECTIVE: To report prevalence, risk factors and clinical outcomes for presumptive gastric dilation-volvulus diagnosed among an emergency-care population of UK dogs. METHODS: The study used a cross-sectional design using emergency-care veterinary clinical records from the VetCompass Programme spanning September 1, 2012 to February 28, 2014 and risk factor analysis using multivariable logistic regression modelling. RESULTS: The study population comprised 77,088 dogs attending 50 Vets Now clinics. Overall, 492 dogs had presumptive gastric dilation-volvulus diagnoses, giving a prevalence of 0&#xb7;64% (95% Confidence interval: 0&#xb7;58 to 0&#xb7;70%). Compared with cross-bred dogs, breeds with the highest odds ratios for the diagnosis of presumptive gastric dilation-volvulus were the great Dane (odds ratio: 114&#xb7;3, 95% Confidence interval 55&#xb7;1 to 237&#xb7;1, P<0&#xb7;001), akita (odds ratio: 84&#xb7;4, 95% Confidence interval 33&#xb7;6 to 211&#xb7;9, P<0&#xb7;001) and dogue de Bordeaux (odds ratio: 82&#xb7;9, 95% Confidence interval 39&#xb7;0 to 176&#xb7;3, P<0&#xb7;001). Odds increased as dogs aged up to 12 years and neutered male dogs had 1&#xb7;3 (95% Confidence interval 1&#xb7;0 to 1&#xb7;8, P=0&#xb7;041) times the odds compared with entire females. Of the cases that were presented alive, 49&#xb7;7% survived to discharge overall, but 79&#xb7;3% of surgical cases survived to discharge. CLINICAL SIGNIFICANCE: Approximately 80% of surgically managed cases survived to discharge. Certain large breeds were highly predisposed.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/28833166/