Millis D L, Nemzek J, Riggs C, Walshaw R
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing 48824-1314, USA.
J Am Vet Med Assoc. 1995 Aug 1;207(3):314-5.
Two dogs developed gastric dilatation-volvulus 2 and 17 months, respectively, after splenectomy for treatment of splenic torsion. Splenic displacement and torsion may stretch the gastric ligaments, allowing increased mobility of the stomach. After splenectomy, an anatomic void may be created in the cranioventral part of the abdomen, contributing to the mobility of the stomach. Veterinarians treating dogs with isolated splenic torsion may wish to consider prophylactic gastropexy at splenectomy, to reduce the chance of future gastric dilatation-volvulus. Prophylactic gastropexy should be done only if the dog's hemodynamic status is stable enough to allow for performance of the additional surgery.
两只狗在因脾扭转接受脾切除术后分别于2个月和17个月出现胃扩张-扭转。脾移位和扭转可能会拉伸胃韧带，使胃的活动度增加。脾切除术后，腹部头腹侧可能会形成一个解剖学上的空隙，这有助于胃的活动。治疗单纯性脾扭转犬的兽医可能希望考虑在脾切除时进行预防性胃固定术，以降低未来发生胃扩张-扭转的几率。预防性胃固定术仅应在犬的血流动力学状态足够稳定以允许进行额外手术时进行。
