Members' NAVLE study guide

Canine GDV: Radiographs, Lactate & Gastropexy

3,304 words 13 min read 3 figures Reviewed November 9, 2026

Gastric dilatation-volvulus (GDV) is the acute distension of the stomach with gas, followed by rotation of the stomach about its own axis, in large and giant breed dogs. Venous return collapses, the gastric wall and spleen lose their blood supply, and the dog can die within hours without decompression and surgery.

Key facts

Gastric dilatation-volvulus at a glance
  • Species and system: dog; gastrointestinal, with cardiovascular and metabolic consequences.
  • Typical patient: middle-aged to older large or giant breed with a deep, narrow chest (Great Dane, Weimaraner, Saint Bernard, Irish and Gordon Setter, Standard Poodle, German Shepherd, Basset Hound).
  • Classic presentation: unproductive retching, hypersalivation, restlessness and a distending, tympanic cranial abdomen.
  • Imaging: right lateral radiograph showing a gas-filled pylorus craniodorsal to the fundus with a soft-tissue shelf between them.
  • Treatment: shock fluids through cranial veins, gastric decompression, then surgery with derotation and gastropexy.
  • Not zoonotic, not reportable.

What's inside

12 sections in the full guide
  1. Key facts
  2. How the NAVLE tests this
  3. Cause and pathophysiology
  4. Clinical signs
  5. Diagnosis
  6. Differential diagnoses
  7. Treatment and management
  8. Prevention
  9. Prognosis
  10. Quick review
  11. Test yourself
  12. References
The full guide also has 7 tables, 3 figures, 3 self-test questions and 16 references, available to NAVLE members.

Read the full study guide

The full guide is part of every NAVLE plan, with diagnosis and treatment tables, figures, a quick review and self-test questions. Start a free trial to try the question bank, or log in if you are already a member.

Read the free overview article A shorter, free article on Gastric dilatation-volvulus on the NavleExam blog.

More guides

Canine · Gastrointestinal/Digestive