Belly Bain Archives | Center for Dog Pain Relief

Overview

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What is a Gastrotomy Surgery?

A gastrotomy is a fairly common surgical operation, usually done in emergency cases, that involves opening up the stomach to remove foreign bodies and tumors.

What does Gastrotomy Surgery Treat?

A gastrotomy is performed to remove foreign bodies from the stomach. This usually includes foreign objects that can’t be removed via endoscopic extraction due to size, sharpness or if they are obscure as well as tumors. The procedure can also be performed to treat bloating in dogs whose stomachs have turned. It may also be done for diagnostic purposes for biopsies.

How Does Gastrotomy Surgery Work?

Once a dog is prepped, sterile and under anesthesia, an incision similar to a spay incision is made. The upper abdomen incision provides access to the abdominal cavity and another incision is made into the stomach. The surgeon then removes the object or tumor, collects the biopsy, or repairs a rupture. Sutures that dissolve over time are used to seal the incision in the stomach at the end of the surgery. Following that, the abdominal incision is closed with one or two layers of self-dissolving sutures. Sutures or surgical staples are used to seal the skin’s outer layer and are removed within 10 to 14 days.

How Effective is Gastrotomy Surgery?

Gastrotomy is essentially the only method to remove most foreign objects or tumors from stomachs and there usually isn’t time for diagnostics in the cases of emergencies. While it’s the permanent solution for removing objects, it doesn’t prevent tumors from coming back. It’s also the only treatment for bloat in dogs and is more often used in emergency situations of these conditions than not.

How Much Does Gastrotomy Surgery Cost?

The cost of gastrotomy surgery can vary greatly and is often anywhere between $800 to $7,000 but this is mainly due to the fact that the surgery is often done with other surgeries at the same time and done in emergency situations. Other factors that go into the cost include imaging and medications.

How Can a Gastrotomy Be Prevented?

Since a gastrotomy is often used for foreign object removal, the best way to prevent the need of the surgery in those cases is to keep your dog from chewing or eating non-edible items that they can swallow. This even includes sticks as they may swallow them or the sticks may splinter and the splinters can be swallowed. When it comes to preventing bloat and gastric torsion, don’t let your dog exercise right before or after a meal and encourage slow eating, especially in deep-chested breeds that a prone to bloat.

Overview

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What is Gastroesophageal Reflux Disease in Dogs?

Gastroesophageal reflux disease (GERD) is a chronic condition in dogs in which stomach acid flows from the stomach to the esophagus. When the condition isn’t present, a valve referred to as the lower esophageal sphincter prevents this abnormal flow of acid. For dogs who experience GERD, the acid instead passes right through this valve and instead enters the esophagus.

The stomach acid causes irritation once it enters the esophagus and can cause a great variety of clinical signs and mimics that of heartburn in humans.

What Causes Gastroesophageal Reflux Disease in Dogs?

There are a few common causes of GERD including:

Excessive acid production of the stomach leading to fluid leaking back into the esophagus
Certain anesthetic procedures damage the esophageal sphincter’s ability to fully close the opening leading to reflux
Chronic vomiting (commonly observed in dogs with abnormal liver and kidney function)

In some instances, the condition may be caused by an underlying congenital condition, such as hiatal hernia, which occurs when the upper part of the dog’s stomach bulges through the diaphragm into the chest cavity. This condition is often observed in Shar-Pei breeds and English Bulldogs. If a hiatal hernia or other underlying cause is present, your vet may recommend a surgical procedure to correct the issue, in turn correcting GERD.

Who’s At Risk of Developing Gastroesophageal Reflux Disease?

As mentioned above, a congenital condition called Hiatal Hernia, is often observed in Shar-Pei breeds and English bulldogs, leading to GERD.

Additionally, younger dogs whose esophageal sphincters have not fully developed yet are at an increased risk of developing GERD.

What are the Symptoms of Gastroesophageal Reflux Disease?

The most common symptoms of Gastroesophageal Reflux Disease in dogs include:

Difficulty swallowing
Decrease in appetite
Regurgitation following eating
Lip licking
Change in bark
Persistent coughing
Appearing general discomfort
Restlessness
Weight loss (observed in severe cases)

How Can Gastroesophageal Reflux Disease in Dogs Be Prevented?

While GERD may not be fully preventable, there are measures you can take to reduce the likelihood of GERD developing. Feeding your dog on a consistent, frequent meal schedule reduces the pressure on their gastrointestinal system.

Additionally, if your dog is prone to acid reflux, softer dog foods can be beneficial as they decrease how much work the digestive enzymes must do to digest the food.

How is Gastroesophageal Reflux Disease Diagnosed?

Your veterinarian will likely diagnose GERD with a combination of a physical exam and various laboratory tests.

During the exam portion, your vet will search for pain and locate any abdominal masses, obstructions, or any other abnormalities that may be present.

A series of diagnostic testing will be performed. This includes a complete blood cell count lab test in order to assess your dog’s red blood cells, white blood cells, and platelets. Information will also be collected about how the internal organs, such as the liver and kidneys, are functioning. A urinalysis will also likely be done to examine your dog’s level of hydration and kidney function.

Finally, imaging such as radiography and ultrasound, will likely be necessary. Your vet will use these to examine your dog’s chest and abdomen for any signs of masses, infection, obstruction in the intestines, and any other abnormalities present. Since GERD symptoms can mimic many types of conditions, this imaging will help to rule out any other issues.

Dependent upon results of the exam and tests, your veterinarian may refer you to a veterinary specialist to continue to pursue further diagnostics. GERD is typically officially diagnosed based on an endoscopy. This procedure requires the patient to be anesthetized and a camera will be passed down the esophagus. The specialist will capture any inflammation in the esophagus, officially confirming the diagnosis of GERD.

What is the Treatment for Gastroesophageal Reflux Disease?

A variety of different treatments for GERD. It is not unusual for your veterinarian to recommend a combination of treatments.

In order to decrease stomach acidity, antacid medications are often prescribed. This class of medication includes famotidine, cimetidine, omeprazole, and ranitidine. While reflux can still occur on antacid medications, the damage and discomfort can be greatly reduced.

In addition to antacid medication, your vet may prescribe another medication to strengthen the lower esophageal sphincter by increasing muscle tone and decreasing the likelihood that stomach acid will enter into the esophagus.

A change in diet can also be beneficial to dogs with GERD. A low-fat prescription diet can reduce the production of stomach acid. Rather than larger, less frequent meals, feeding small frequent meals may help to reduce this reflux into the esophagus.

In most instances, even when all of these treatments are set into motion, it’s likely that some degree of reflux will still occur in your dog. A slurry called Sucralfate may be prescribed to coat the esophagus. The coating protects the esophagus’s fragile lining in turn reducing inflammation and progression of ulcers.