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Gastric dilatation volvulus

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Dog breeds that have a higher depth to width ratio of the thorax are significantly more likely to acquire GDV than other breeds. If there is a family history of the condition the risk is even more severe, highlighting a heritability to the predisposing factors. Body weight is a factor with obese dogs
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is often performed, which by a variety of methods firmly attaches the stomach wall to the body wall, to prevent it from twisting inside the abdominal cavity in the future. While dogs that have had gastropexies still may develop gas distension of the stomach, a significant reduction in recurrence of
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Harkey, Michael A.; Villagran, Alexandra M.; Venkataraman, Gopalakrishnan M.; Leisenring, Wendy M.; Hullar, Meredith A. J.; Torok-Storb, Beverly J. (2017). "Associations between gastric dilatation-volvulus in Great Danes and specific alleles of the canine immune-system genes DLA88, DRB1, and TLR5".
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One common recommendation in the past has been to raise the food bowl of dogs when they eat, but this was shown to increase the risk in one study. Eating only once daily and eating food consisting of particles less than 30 mm (1.2 in) in size also has been shown increase the risk of GDV.
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Historically, GDV has held a guarded prognosis. Although "early studies showed mortality rates between 33 and 68% for dogs with GDV," studies from 2007 to 2012 "reported mortality rates between 10 and 26.8%". Mortality rates approach 10 to 40% even with treatment. With prompt treatment and good
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One study looking at the ingredients of dry dog food found that while neither grains, soy, nor animal proteins increased risk of bloat, foods containing an increased amount of added oils or fats do increase the risk, possibly owing to delayed emptying of the stomach.
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Beck J, Staatz A, Pelsue D, Kudnig S, MacPhail C, Seim H, Monnet E (2006). "Risk factors associated with short-term outcome and development of perioperative complications in dogs undergoing surgery because of gastric dilatation-volvulus: 166 cases (1992-2003)".
637:. A longer time from presentation to surgery was associated with a lower mortality, presumably because these dogs had received more complete preoperative fluid resuscitation, thus were better cardiovascularly stabilized prior to the procedure. 562:
to the abdominal wall to prevent recurrence of GDV. Patients that do not receive a gastropexy have a high likelihood of GDV recurrence with one study finding 80% of dogs that suffered a GDV but did not undergo a gastropexy having GDV reoccur.
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gastric volvulus is seen. Of 136 dogs that had surgery for gastric dilatation-volvulus, six that did have gastropexies had a recurrence, while 74 (54.5%) of those without the additional surgery recurred. Gastropexies are also performed
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allows for the stomach to be repositioned. Sometimes the dilatation is serious enough that the stomach requires further decompression before repositioning. Other organs of the digestive system are assessed during the procedure.
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Symptoms are not necessarily distinguishable from other kinds of distress. A dog might stand uncomfortably and seem to be in extreme discomfort for no apparent reason. Other possible symptoms include firm distension of the
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A diagnosis of GDV is made by several factors. The breed and history often gives a significant suspicion of the condition, and a physical examination often reveals the telltale sign of a distended abdomen with abdominal
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in dogs considered to be at high risk of GDV, including dogs with previous episodes or with gastrointestinal disease predisposing to GDV, and dogs with a first-order relative (parent or sibling) with a history of it.
317:. The Great Dane has been found to have a lifetime risk of 42.4% in one study, which has led to the Great Dane being the focus of investigations into causes and risk factors for GDV. One study has found certain 384:
decreases blood flow to liver and decreases the ability of that organ to remove toxins and absorbed bacteria from the blood. Rotations of up to 360° have been reported but typically rotations stop around 270°.
364:. The most common direction for rotation is clockwise, viewing the animal from behind. The stomach can rotate up to 360° in this direction and 90° counterclockwise. If the volvulus is greater than 180°, the 1709:
Mackenzie G, Barnhart M, Kennedy S, DeHoff W, Schertel E (March–April 2010). "A retrospective study of factors influencing survival following surgery for gastric dilatation-volvulus syndrome in 306 dogs".
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preoperative stabilization of the patient, mortality is significantly lessened to 10% overall (in a referral setting). Negative prognostic indicators following surgical intervention include postoperative
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Recurrence of GDV attacks can be a problem, occurring in up to 80% of dogs treated medically only (without surgery). To prevent recurrence, at the same time the bloat is treated surgically, a right-side
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Braun, L; Lester, S; Kuzma, AB; Hosie, SC (1996-07-01). "Gastric dilatation-volvulus in the dog with histological evidence of preexisting inflammatory bowel disease: a retrospective study of 23 cases".
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Precautions that are likely to help prevent gastric dilatation-volvulus include feeding small meals throughout the day instead of one big meal, and not exercising immediately before or after a meal.
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GREENFIELD, CATHY L.; WALSHAW, RICHARD; THOMAS, MICHAEL W. (1989). "Significance of the Heineke‐Mikulicz Pyloroplasty in the Treatment of Gastric Dilatation‐Volvulus A Prospective Clinical Study".
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GDV has been reported across the age range in dogs. It is more likely to occur in older dogs but is not a geriatric disease and the risk plateaus after the first 2–4 years for large dogs.
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Glickman L, Glickman N, Schellenberg D, Simpson K, Lantz G (1997). "Multiple risk factors for the gastric dilatation-volvulus syndrome in dogs: a practitioner/owner case-control study".
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may be required. During the explap the stomach is rotated up to 360° to put it back into the right position, although typically such extreme rotation is not needed. Pulling on the
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to the body of the stomach and left of the midline, often separated on the X-ray by soft tissue and giving the appearance of a separate gas-filled pocket (double-bubble sign).
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Glickman L, Lantz G, Schellenberg D, Glickman N (1998). "A prospective study of survival and recurrence following the acute gastric dilatation-volvulus syndrome in 136 dogs".
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is closed off, thereby preventing the animal from relieving the condition by belching or vomiting. The results of this distortion of normal anatomy and gas distension include
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Patients with GDV need to be stabilised as soon as possible. Perfusion and blood pressure need to be normalised before any further treatment can be performed.
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retarding gastric emptying has been hypothesised as a cause of GDV. Currently no study has identified an association between gastric myoelectricity and GDV.
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Rawlings C, Mahaffey M, Bement S, Canalis C (2002). "Prospective evaluation of laparoscopic-assisted gastropexy in dogs susceptible to gastric dilatation".
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Glickman L, Glickman N, Schellenberg D, Raghavan M, Lee T (2000). "Non-dietary risk factors for gastric dilatation-volvulus in large and giant breed dogs".
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Stress is known to impair gastrointestinal function. Stress has been identified as a risk factor for GDV, the exact manner for this is not currently known.
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genes, which are part of the canine immune system, to predispose a dog to GDV. Further studies have associated these alleles with greater diversity in the
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Gastric dilatation volvulus is multifactorial without any one cause being identified, but in all cases the immediate prerequisite is a dysfunction of the
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GDV is a life-threatening condition in dogs that requires prompt treatment. It is common in certain breeds; deep-chested breeds are especially at risk.
422:(X-rays), usually taken after decompression of the stomach if the dog is unstable, shows a stomach distended with gas. The pylorus, which normally is 1380:
Theyse L, van de Brom W, van Sluijs F (1998). "Small size of food particles and age as risk factors for gastric dilatation volvulus in great danes".
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Parton A, Volk S, Weisse C (2006). "Gastric ulceration subsequent to partial invagination of the stomach in a dog with gastric dilatation-volvulus".
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Glickman L, Glickman N, Pérez C, Schellenberg D, Lantz G (1994). "Analysis of risk factors for gastric dilatation and dilatation-volvulus in dogs".
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Brockman D, Washabau R, Drobatz K (1995). "Canine gastric dilatation/volvulus syndrome in a veterinary critical care unit: 295 cases (1986-1992)".
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The exact pathophysiology is not understood. It is still unknown what order the condition occurs: whether dilatation or volvulus occurs first.
1261:"The canine gut microbiome is associated with higher risk of gastric dilatation-volvulus and high risk genetic variants of the immune system" 1415:
Raghavan M, Glickman N, Glickman L (2006). "The effect of ingredients in dry dog foods on the risk of gastric dilatation-volvulus in dogs".
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Immediate treatment is the most important factor in a favorable prognosis. A delay in treatment greater than 6 hours or the presence of
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Ward M, Patronek G, Glickman L (2003). "Benefits of prophylactic gastropexy for dogs at risk of gastric dilatation-volvulus".
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is necrotic. Many dogs are euthanised due to risks of performing surgery or inability to afford costly surgery and treatment.
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A necrotic spleen removed following splenectomy in a dog with GDV. The black/darker end is where the necrosis has occurred
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patients are 36 times more likely to die. Dogs that show depression when presented are three times more likely to die.
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Bredal, W.P. (1998). "Pneumonyssoides caninum infection--a risk factor for gastric dilatation-volvulus in dogs".
17: 132:(40% in one study). Chronic GDV in dogs, include symptoms such as loss of appetite, vomiting, and weight loss. 617:
are negative prognostic indicators. Patients that lack the ability to walk are 4.4 times more likely to die.
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drugs should be administered after starting fluid therapy to stabilise blood pressure. Other drugs such as
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or punctured. Potentially the content of the stomach may leak if the procedure is performed incorrectly.
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in dogs range from 10 to 60%, even with treatment. With surgery, the mortality rate is 15 to 33 percent.
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As a general rule, GDV is of greatest risk to deep-chested dogs. The five breeds at greatest risk are
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Hullar, Meredith A. J.; Lampe, Johanna W.; Torok-Storb, Beverly J.; Harkey, Michael A. (2018-06-11).
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have been identified in patients with GDV. Haemological conditions that may be identified include:
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X-ray of a dog with GDV. The "double bubble" pattern indicates that stomach torsion has occurred.
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Monnet, Eric; Mazzaferro, Elisa M (2023-05-31). "Gastric dilatation volvulus syndrome".
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Proceedings of the 29th World Congress of the World Small Animal Veterinary Association
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should be provided if blood pressure fails to normalise, only as a last resort. Other
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The stomach twists around the longitudinal axis of the digestive tract, also known as
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is the easiest method of treating GDV. A large catheter is inserted into the gastric
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Przywara, John F.; Abel, Steven B.; Peacock, John T.; Shott, Susan (October 2014).
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Elwood, C. M. (1998). "Risk factors for gastric dilatation in Irish setter dogs".
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X-ray from the underside of a dog with GDV. The dark area is the buildup of gas.
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without stomach torsion (a normal change after eating), or to refer to GDV.
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Aronson, Lillian R.; Brockman, Daniel J.; Brown, Dorothy Cimino (2000).
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have the greatest risk for dogs less than 50 lb (23 kg).
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being less likely to develop GDV than healthy or underweight dogs.
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Glickman L, Glickman N, Schellenberg D, Raghavan M, Lee T (2000).
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it. Fluid should be regurgitated up the tube. If it is not then a
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The American Society for the Prevention of Cruelty to Animals
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may be required if the patient does not respond well to the
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This article is about "bloat" in dogs. For other uses, see
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content. The condition also involves compression of the
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as a result of hypergastrinaemia was presumed to cause
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and stomach and an obstruction of outflow through the
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develops a "twisted stomach", necessitating surgery.
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Journal of the American Animal Hospital Association
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1271:(6). Public Library of Science (PLoS): e0197686. 720:, Marley develops and ultimately dies of "bloat". 676:are also at risk for this health problem, as are 537:To restore the stomach to the normal position an 1830: 1111: 1109: 972: 794: 426:and to the right of the body of the stomach, is 84:becomes overstretched and rotated by excessive 818: 816: 265:The breeds most likely to develop GDV are the 124:, weakness, depression, difficulty breathing, 1106: 406:. Shock is diagnosed by the presence of pale 1704: 1702: 1665: 1503: 1501: 952:. World Small Animal Veterinary Association 813: 376:(loss of blood supply) of the stomach, and 1191: 1189: 943:"Gastric Dilatation Volvulus: What's New?" 1699: 1648: 1579: 1573: 1276: 1133: 848: 397:Bloat in a dog, with "double-bubble" sign 254:infection; gastrointestinal disease; and 216:has been hypothesised as a cause of GDV. 1498: 1450: 1448: 968: 966: 936: 934: 727:," an episode of the animated TV series 592: 392: 100:is often used as a general term to mean 44: 36: 1226:American Journal of Veterinary Research 1186: 829:The Veterinary Clinics of North America 414:refill, increased heart rate, and poor 14: 1831: 1479: 1077: 1042: 950:Proceedings of the 31st World Congress 940: 870: 868: 790: 788: 786: 784: 782: 780: 778: 776: 774: 772: 770: 703: 615:disseminated intravascular coagulation 76:that affects dogs and rarely cats and 1781: 1582:Veterinary Emergency Medicine Secrets 1445: 963: 931: 768: 766: 764: 762: 760: 758: 756: 754: 752: 750: 526:through the tube into the stomach to 514:is entered into the stomach via the 510:is another method for treatment. An 865: 24: 1080:Veterinary Research Communications 1057:10.1111/j.1748-5827.1998.tb03627.x 1022:10.1111/j.1532-950x.1989.tb01038.x 747: 352: 343: 25: 1850: 1045:Journal of Small Animal Practice 797:Small Animal Soft Tissue Surgery 541:(explap) is needed. Sometimes a 1814:. KBCW/CBS Local. 15 March 2014 1808:"The Simpsons - 'Dog of Death'" 1800: 1775: 1740: 1624: 1598: 1536: 1473: 1408: 1373: 1336: 1293: 1252: 1216: 1150: 647: 238: 1782:Lucas, D (15 September 2014). 1071: 1036: 1001: 904: 825:"Gastrointestinal Emergencies" 633:, or splenectomy with partial 337:and an increased risk of GDV. 136:may occur and in severe cases 13: 1: 1761:10.1016/S0167-5877(03)00142-9 1456:"Gastric Dilatation-volvulus" 841:10.1016/s0195-5616(00)50039-4 741: 566: 1584:. Hanley & Belfus, Inc. 1580:Wingfield, Wayne E. (1997). 1278:10.1371/journal.pone.0197686 640:Prognosis is guarded if the 588: 433: 388: 250:Other risk factors include: 174:. Other conditions include: 7: 1812:cwsanfrancisco.cbslocal.com 1612:. Animal Emergency Hospital 1522:10.2460/javma.2002.221.1576 1460:The Merck Veterinary Manual 1314:10.2460/javma.2000.217.1492 941:Fossum, Theresa W. (2006). 682:German Shorthaired Pointers 222:pyloric outflow obstruction 114: 54:Gastric dilatation volvulus 10: 1855: 1480:Bright, Ronald M. (2004). 495:. If done incorrectly the 489:Percutaneous decompression 256:inflammatory bowel disease 29: 1559:10.5326/15473317-34-3-253 1359:10.5326/15473317-33-3-197 1172:10.5326/15473317-32-4-287 1135:10.2460/javma.2000.216.40 987:10.2460/javma.228.12.1895 890:10.2460/javma.229.12.1934 447:intravenous fluid therapy 442:should also be provided. 193: 27:Medical condition in dogs 1610:marylandpetemergency.com 269:(10 times more likely), 1092:10.1023/a:1006083013513 1510:J. Am. Vet. Med. Assoc 1302:J. Am. Vet. Med. Assoc 1198:J. Am. Vet. Med. Assoc 1122:J. Am. Vet. Med. Assoc 975:J. Am. Vet. Med. Assoc 913:J. Am. Vet. Med. Assoc 878:J. Am. Vet. Med. Assoc 598: 558:involves suturing the 539:exploratory laparotomy 534:has likely occurred. 398: 311:Grand Bleu de Gascogne 231:Impairment of gastric 50: 42: 32:Bloat (disambiguation) 1238:10.2460/ajvr.78.8.934 735:Santa's Little Helper 596: 516:oesophageal sphincter 396: 48: 40: 690:Rhodesian Ridgebacks 473:can be used such as 459:crystalloid solution 176:hepatocelluar damage 1394:10.1136/vr.143.2.48 1016:(1). Wiley: 22–26. 704:Society and culture 532:stomach perforation 522:water is sent as a 218:Pyloric hypertrophy 1010:Veterinary Surgery 627:cardiac arrhythmia 599: 399: 380:. Pressure on the 172:haemoconcentration 138:hypovolaemic shock 51: 43: 1591:978-1-56053-215-6 806:978-1-119-69368-0 733:, the family dog 635:gastric resection 554:may be required. 445:Patients require 313:and the standard 214:Hypergastrinaemia 168:thrombocytopaenia 74:medical condition 60:), also known as 16:(Redirected from 1846: 1824: 1823: 1821: 1819: 1804: 1798: 1797: 1795: 1794: 1779: 1773: 1772: 1744: 1738: 1737: 1706: 1697: 1696: 1694: 1692: 1683:. 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The word 92:and caudal 78:guinea pigs 1793:2017-07-28 1691:15 October 1491:2007-04-17 1466:2007-04-17 956:2007-04-17 742:References 698:Dachshunds 574:gastropexy 567:Prevention 556:Gastropexy 508:intubation 467:dobutamine 410:with poor 307:Bloodhound 275:St Bernard 271:Weimaraner 267:Great Dane 252:nasal mite 149:dyscrasias 94:vena cavae 1788:USA TODAY 1677:aspca.org 1637:Can Vet J 1287:1932-6203 1246:0002-9645 1180:0587-2871 1100:0165-7380 1065:0022-4510 1030:0161-3499 589:Prognosis 501:lacerated 475:ephedrine 440:Analgesia 434:Treatment 418:quality. 412:capillary 389:Diagnosis 366:esophagus 204:esophagus 200:sphincter 90:diaphragm 1833:Category 1769:12941556 1734:20194364 1659:25320388 1530:12479327 1439:16397192 1382:Vet. Rec 1330:22006972 1322:11128539 1265:PLOS ONE 1144:10638316 995:16784379 898:17173533 859:10853276 619:Comatose 374:ischemia 362:volvulus 184:azotemia 115:Symptoms 1818:29 July 1673:"Bloat" 1650:4187373 1567:9590454 1402:9699253 1367:9138229 1210:8050972 925:7591946 850:1374121 709:In the 547:pylorus 499:may be 428:cranial 424:ventral 404:tympany 321:of the 319:alleles 208:pylorus 122:abdomen 82:stomach 72:, is a 1767:  1732:  1657:  1647:  1588:  1565:  1528:  1462:. 2006 1437:  1400:  1365:  1328:  1320:  1285:  1244:  1208:  1178:  1142:  1098:  1063:  1028:  993:  923:  896:  857:  847:  803:  688:, and 668:, and 642:cardia 607:sepsis 528:lavage 497:spleen 481:, and 451:saline 315:Poodle 287:Borzoi 273:(4.6) 260:biopsy 194:Causes 170:, and 147:Blood 1326:S2CID 946:(PDF) 711:novel 613:, or 524:bolus 520:tepid 493:lumen 449:with 416:pulse 378:shock 323:DLA88 295:Akita 98:bloat 68:, or 1820:2017 1765:PMID 1730:PMID 1693:2017 1655:PMID 1618:2017 1586:ISBN 1563:PMID 1526:PMID 1435:PMID 1398:PMID 1363:PMID 1318:PMID 1283:ISSN 1242:ISSN 1206:PMID 1176:ISSN 1140:PMID 1096:ISSN 1061:ISSN 1026:ISSN 991:PMID 921:PMID 894:PMID 855:PMID 801:ISBN 723:In " 715:film 713:and 696:and 331:TLR5 329:and 327:DRB1 186:and 140:and 1757:doi 1722:doi 1645:PMC 1555:doi 1518:doi 1514:221 1427:doi 1390:doi 1386:143 1355:doi 1310:doi 1306:217 1273:doi 1234:doi 1202:204 1168:doi 1130:doi 1126:216 1088:doi 1053:doi 1018:doi 983:doi 979:228 917:207 886:doi 882:229 845:PMC 837:doi 86:gas 58:GDV 1835:: 1810:. 1786:. 1763:. 1753:60 1751:. 1728:. 1718:46 1716:. 1701:^ 1679:. 1675:. 1653:. 1641:55 1639:. 1635:. 1608:. 1561:. 1551:34 1549:. 1524:. 1512:. 1500:^ 1484:. 1458:. 1447:^ 1433:. 1423:42 1421:. 1396:. 1384:. 1361:. 1351:33 1349:. 1324:. 1316:. 1304:. 1281:. 1269:13 1267:. 1263:. 1240:. 1230:78 1228:. 1200:. 1188:^ 1174:. 1164:32 1162:. 1138:. 1124:. 1120:. 1108:^ 1094:. 1084:22 1082:. 1059:. 1049:39 1047:. 1024:. 1014:18 1012:. 989:. 977:. 965:^ 948:. 933:^ 915:. 892:. 880:. 867:^ 853:. 843:. 833:30 831:. 827:. 815:^ 749:^ 692:. 684:, 680:, 664:, 660:, 656:, 629:, 609:, 605:, 518:, 485:. 477:, 461:. 453:. 325:, 309:, 305:, 301:, 297:, 293:, 289:, 285:, 210:. 190:. 182:, 178:, 166:, 162:, 158:, 144:. 64:, 1822:. 1796:. 1771:. 1759:: 1736:. 1724:: 1695:. 1661:. 1620:. 1594:. 1569:. 1557:: 1532:. 1520:: 1494:. 1469:. 1441:. 1429:: 1404:. 1392:: 1369:. 1357:: 1332:. 1312:: 1289:. 1275:: 1248:. 1236:: 1212:. 1182:. 1170:: 1146:. 1132:: 1102:. 1090:: 1067:. 1055:: 1032:. 1020:: 997:. 985:: 959:. 927:. 900:. 888:: 861:. 839:: 809:. 56:( 34:. 20:)

Index

Gastric torsion
Bloat (disambiguation)


medical condition
guinea pigs
stomach
gas
diaphragm
vena cavae
gas distension
Mortality rates
abdomen
hypersalivation
arrhythmias
Hypovolaemia
hypovolaemic shock
hypoperfusion
dyscrasias
neutrophilic
leukocytosis
lymphopaenia
leukopaenia
thrombocytopaenia
haemoconcentration
hepatocelluar damage
cholestasis
azotemia
hypokalaemia
sphincter

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