1The Schwarzman Animal Medical Center, New York, NY.
2Department of Information Technology and Cybersecurity, Missouri State University, Springfield, MO.
J Am Vet Med Assoc. 2024 Mar 22;262(6):1-5. doi: 10.2460/javma.23.11.0620. Print 2024 Jun 1.
To evaluate the association of mesenteric volvulus (MV) in New York Police Department police working dogs (PWDs) with and without a prior prophylactic laparoscopic gastropexy (PLG).
370 PWDs (82 with and 288 without PLG).
Medical records and surgery and radiology reports were reviewed from 2012 to 2022. Signalment, pertinent history (medical and surgical), gastropexy status, temperament, and training type were recorded. Statistical analysis was used to identify the relationship between prophylactic gastropexy and MV within the patient population.
3 cases of mesenteric volvulus were noted in this patient population. Two (2.4%) of the 82 PWDs that had undergone prophylactic laparoscopic gastropexy developed MV, whereas 1 (0.3%) of the 288 PWDs that had not undergone a gastropexy procedure developed MV. Police working dogs with PLG were estimated to be at 7.2 times greater odds of MV (point estimate OR, 7.18; 95% CI, 0.642 to 80.143); however, the low incidence of MV in this population limited statistical power, and thus this effect did not achieve statistical significance. Evaluation of MV incidence in additional populations of working dogs will allow greater precision in the point estimate.
Prophylactic gastropexy may be associated with an increased risk for MV. However, patients without prophylactic gastropexy are at risk for gastric dilatation and volvulus, which is more common than MV. Therefore, the authors continue to recommend prophylactic gastropexy to decrease the risk for gastric dilatation and volvulus.
评估肠系膜扭转（MV）在纽约警察局警犬（PWD）中与有无预防性腹腔镜胃固定术（PLG）的关联。
370 只警犬（82 只有和 288 只没有 PLG）。
回顾 2012 年至 2022 年的病历、手术和放射学报告。记录品种、相关病史（医学和手术）、胃固定状态、气质和训练类型。使用统计分析来确定在患者人群中预防性胃固定术与 MV 之间的关系。
在该患者人群中发现 3 例肠系膜扭转。在 82 只接受预防性腹腔镜胃固定术的 PWD 中，有 2 只（2.4%）发生 MV，而在 288 只未接受胃固定术的 PWD 中，有 1 只（0.3%）发生 MV。有 PLG 的警犬发生 MV 的几率估计为 7.2 倍（点估计 OR，7.18；95%CI，0.642 至 80.143）；然而，MV 在该人群中的发病率较低，限制了统计能力，因此该效果未达到统计学意义。对其他工作犬群体的 MV 发病率进行评估将使点估计更精确。
预防性胃固定术可能与 MV 的风险增加有关。然而，没有预防性胃固定术的患者有胃扩张和扭转的风险，这比 MV 更常见。因此，作者继续建议预防性胃固定术以降低胃扩张和扭转的风险。
