In our surgery lesson: “You may see this case once in our professional life.” started by saying, Surgery Professor Kemal.
After graduation; The first clinical experience of GVDS was a 1 year old male big podle dog of our English patient owner who came to the emergency at 8 o’clock in the evening.
He said his dog was stagnating, vomiting and fainting. He told that, after waking up, he took back everything he had eaten at the same time.
Significant pain in abdominal examination. There is Ptyalism. Hypokalemia. Ventro-dorsal, lateral x-ray pylorus was observed to be on the left side of the midline and laterally, giving a dorsal view, the gastric fundus shifting from the cauda to the right, and condensation opposite the enlarged stomach.
Emergency operation
Lactated Ringer’s iv.
Started Iv. anesthesia and continued with gas anesthesia.
Decompression of the stomach with an orogastric catheter,
Laparotomy was performed with an incision over the median line.
The stomach and spleen were repositioned.
Organs were examined for necrosis.
The stomach was fixed so that the volvulus did not recur.
Covered with 2/0 absorbable Opersion thread.
Postoperative
Cefazolin (20 mg / kg) IV. broad spectrum antibiotic combined with Gentamycine (2mg / kg). 14 days.
Lansoprazole (1 mg / kg PO / 24 hour 5 days)
There was no feeding on the first day.
Iv liquid application was continued.
First, liquid, then soft, and then on the 15th day solid feeding was started.
GVDS has attracted attention in recent times.
One year later, a 1-year-old male Jack Russel terrier encountered GVDS again and the nighttime emergency operation was inevitable.