Gastropexy

Gastropexy is a surgical procedure where a dog’s stomach is permanently attached (tacked) to the internal abdominal wall to prevent it from twisting. While it does not prevent “bloat” (the stomach filling with gas), it is nearly 100% effective in preventing the life-threatening rotation known as Gastric Dilatation-Volvulus (GDV). 

Indications: Why is it performed?

Veterinarians primarily recommend gastropexy for two reasons: 

• Prophylactic (Preventative): Performed on healthy dogs at high risk for GDV, often alongside a routine spay or neuter. High-risk breeds include large, deep-chested dogs like Great Danes, German Shepherds, Standard Poodles, and Weimaraners.
• Emergency Treatment: If a dog already has GDV, gastropexy is performed after the stomach is untwisted to prevent it from happening again. Without this procedure, the recurrence rate for GDV can be as high as 80%. 

Post-Operative Care

Recovery for a preventative gastropexy is similar to a routine spay or neuter, typically taking 10–14 days. 

• Activity Restriction: No running, jumping, or rough playing for at least 14 days. Use a short leash for all bathroom breaks.
• Incision Care: Check the site daily for redness, swelling, or discharge. Your dog must wear Pet Pjs® at all times to prevent licking.
• Dietary Changes: Offer small, frequent meals (3–4 times daily) rather than one large meal to reduce stomach strain. Moisten dry kibble with warm water for the first week.
• Monitoring: Contact your vet immediately if your dog experiences persistent vomiting, extreme lethargy, or if the incision begins to pull apart. 

Symptoms of GDV (Bloat) to Watch For

Even with a gastropexy, owners of at-risk breeds should watch for signs of gas buildup, which can still be painful: 

• Unproductive retching or gagging (trying to vomit but nothing comes up).
• A visibly swollen or “hard” abdomen.
• Extreme restlessness, pacing, or an inability to get comfortable.
• Excessive drooling or panting.