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Should Your Dog Get a Gastropexy to Prevent Bloat?

The risks and benefits of gastropexy in dogs.

by Daniela Lopez
September 6, 2021
White and black spotted Great Dane with two different colored eyes looks into the camera
Michael Drager/Adobe Stock

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The last thing any pet parent wants to think about is gastric dilatation and volvulus (GDV), commonly known as bloat. But for those with deep-chested dogs —including Great Danes, Labradors and Weimaraners — it’s a fear that’s always lurking.

GDV is quickly fatal and one of the leading causes of death in dogs of these breeds. During an episode of bloat, a dog’s stomach dilates and fills with air or fluid. Occasionally the condition stops there, but often it progresses into volvulus, full GDV. During this stage, the stomach twists upon itself. Bloat can kill a dog within hours if not treated immediately.

The treatment for bloat is called a gastropexy. During this surgical procedure, the dog’s stomach is sutured to the wall of the body to prevent twisting. Prior to applying the suture, the veterinarian will untwist the stomach returning it to its normal position.

A gastropexy is most commonly performed as an emergency surgery in response to an episode of bloat but preventative surgery called prophylactic gastropexy is an option to prevent a future episode.

Often veterinarians will perform a prophylactic gastropexy at the time of spay/neuter. But for dogs that have already been altered, a laparoscopic option is available which is minimally invasive with only small incisions made. With a laparoscopic gastropexy, only minor complications have occurred—most commonly a temporary skin fold.

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Does A Gastropexy Work?

While the gastropexy is not effective at preventing bloat of the stomach (filling up with gas), it does prevent the life-threatening twisting of the stomach. And that’s a good thing. But Dr. Michael Willard, professor at Texas A&M University College of Veterinary Medicine & Biomedical Sciences adds an important caveat: “Prophylactic gastropexy may greatly lessen the risk of recurrence, but it does not completely eliminate it.”

So, how much does preventative gastropexy lessen the risk?  It can decrease the rate of recurrence from 55% to 4%.

Is a Prophylactic Gastropexy Worth The Risks?

When it comes to determining if a prophylactic gastropexy is a good solution for your dog, your first stop should be your veterinarian. Talk with your vet about your concerns. They can help review your dog’s health and the potential occurrence and risk factors with you.

Some GDV Risk Factors Include:

  • Large breed dogs have a 24% chance at developing GDV. Great Danes have the largest occurrence rate of over 40%.

  • A dog’s risk for GDV increases with age.

  • Deep chested dogs like Dobermans are at higher risk.

Dog breeds predisposed to bloat include Great Danes, St. Bernards, Weimaraners, Rottweilers, Irish Setters, Gordon Setters, Boxers, Standard Poodles, Basset Hounds, Doberman Pinschers, German Shepherds, Bloodhounds, Newfoundlands, and Old English Sheepdogs.

Willard estimates the average cost of treating a GDV case with surgery to be between $2,000 and $5,000, but if there are complications, the cost could be much higher.

Beyond the general risk of surgery and anesthesia, gastropexy is generally well tolerated by most dogs, though some dogs have experienced gastrointestinal issues. If you’re thinking about getting a gastropexy for your dog, seek an experienced veterinarian surgeon.

Remember: If bloating of the stomach occurs in your dog, seek out veterinary attention immediately regardless of if your dog has had a gastropexy. It could save your pup’s life.

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daniela lopez

Daniela Lopez

Daniela Lopez is a digital media specialist and long-time contributor to The Bark.