Current evidence supporting simultaneous prophylactic gastropexy in canine patients undergoing complete splenectomy

Published:

2021-12-24

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DOI

https://doi.org/10.18849/ve.v6i4.443

Abstract

PICO question

In dogs that have undergone a complete splenectomy, does performing a concurrent gastropexy decrease the risk of future gastric dilatation-volvulus (GDV) development when compared to not performing a concurrent gastropexy?

 

Clinical bottom line

Category of research question

Risk

The number and type of study designs reviewed

Five papers were critically reviewed which included one retrospective case series, one retrospective case-control study, and three combined retrospective cohort and cross-sectional survey studies

Strength of evidence

Weak

Outcomes reported

In dogs that have had a complete splenectomy, there is no conclusive evidence that prophylactic gastropexy decreases the risk of lifetime GDV development

Conclusion

Based on the limited information available, it is difficult to conclude if prophylactic gastropexy should be recommended routinely at the time of complete splenectomy

 

How to apply this evidence in practice

The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources.

Knowledge Summaries are a resource to help reinforce or inform decision making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care.

 

Open Access Peer Reviewed

References

DeGroot, W., Giuffrida, M.A., Rubin, J., Runge, J.J., Zide, A., Mayhew, P.D., Culp, W.T.N., Mankin, K.T., Amsellem, P.M., Petrukovich, B., Ringwood, P.B., Case, J.B. & Singh, A. (2016). Primary splenic torsion in dogs: 102 cases (1992–2014). Journal of the American Veterinary Medical Association. 248(6), 661–668. DOI: https://doi.org/10.2460/javma.248.6.661

Goldhammer, M.A., Haining, H., Milne, E.M., Shaw, D.J. & Yool, D.A. (2010). Assessment of the incidence of GDV following splenectomy in dogs. Journal of Small Animal Practice. 51(1), 23–28. DOI: https://doi.org/10.1111/j.1748-5827.2009.00844.x

Grange, A.M., Clough, W. & Casale, S.A. (2012). Evaluation of splenectomy as a risk factor for gastric dilatation-volvulus. Journal of the American Veterinary Medical Association. 241(4), 461–466. DOI: https://doi.org/10.2460/javma.241.4.461

Maki, L.C., Males, K.N., Byrnes, M.J., El-Saad, A.A. & Coronado, G.S. (2017). Incidence of gastric dilatation-volvulus following a splenectomy in 238 dogs. The Canadian Veterinary Journal. 58(12): 1275–1280.

Sartor, A.J., Bentley, A.M. & Brown, D.C. (2013). Association between previous splenectomy and gastric dilatation-volvulus in dogs: 453 cases (2004–2009). Journal of the American Veterinary Medical Association. 242(10), 1381–1384. DOI: https://doi.org/10.2460/javma.242.10.1381

Loy Son, N.K., Singh, A., Amsellem, P., Kilkenny, J., Brisson, B.A., Oblak, M.L. & Ogilvie, A.T. (2016). Long-Term Outcome and Complications Following Prophylactic Laparoscopic-Assisted Gastropexy in Dogs. Veterinary Surgery. 45(S1), 77–83. DOI: https://doi.org/10.1111/vsu.12568

Vol. 6 No. 4 (2021): The fourth issue of 2021

Section: Knowledge Summaries

Categories :  Small Animal  /  Dogs  /  Cats  /  Rabbits  /  Production Animal  /  Cattle  /  Sheep  /  Pig  /  Equine  / 

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