NAVLE Gastrointestinal and Digestive

Canine Gastric Dilatation-Volvulus Study Guide

Gastric dilatation-volvulus (GDV), commonly known as "bloat" or "gastric torsion," is an acute, life-threatening emergency characterized by rapid gastric distension with gas and fluid, followed by rotation of the stomach along its mesenteric axis.
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Overview and Clinical Importance

Gastric dilatation-volvulus (GDV), commonly known as "bloat" or "gastric torsion," is an acute, life-threatening emergency characterized by rapid gastric distension with gas and fluid, followed by rotation of the stomach along its mesenteric axis. GDV primarily affects large- and giant-breed dogs with deep, narrow chests and represents one of the most time-critical emergencies in veterinary medicine. Without immediate medical and surgical intervention, GDV is universally fatal.

The mortality rate remains 10-33% even with appropriate treatment. Understanding pathophysiology, clinical presentation, diagnostic approach, and treatment is critical for NAVLE success and clinical practice.

Giant Breeds (Highest Risk) Large Breeds Key Statistics
Great Dane German Shepherd Great Danes: 40% lifetime risk; 53 cases per 1000 dog-years
Irish Wolfhound Weimaraner / Irish Setter Dogs greater than 100 lb: approximately 20% lifetime risk
Saint Bernard Standard Poodle Odds ratio Great Dane: 10x; Weimaraner: 4.6x
Bloodhound Doberman / Basset Hound Note: Any breed can be affected

Etiology and Risk Factors

The exact etiology is multifactorial, involving anatomical predisposition, gastric motility dysfunction, and environmental/dietary factors. Breed is the most significant risk factor.

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