A 6-year retrospective study of Canine Gastric Dilatation-Volvulus treated\nwith incorporating gastropexy
Notice bibliographique
Résumé
Gastric dilatation-volvulus (GDV) is a potentially life-threatening syndrome\nof multifactorial origins that require immediate appropriate medical and\nsurgical treatment as well as intensive postoperative care. Many studies have\nshown multiple risk factors for GDV. They include breed, anatomy, genetics,\nage, feeding, activities, behaviors and other factors. Surgery should be\nperformed as soon as the GDV dogs have been treated medically and are stable\nenough to be given general anesthesia. The principal objectives of surgical\ntreatment are decompression and repositioning of the stomach, resection of a\npossible pathologic gastric wall, and prophylactic permanent gastropexy. In\nour clinic, a surgical method of choice is ‘Incorporating gastropexy’. We use\nthis technique routinely because this technique is technically simple and can\nbe learned and performed easily. Additionally, this technique takes less\nsurgical time which diminishes the risk of anesthetic complications. The sex\ndistribution of dogs in our study shows that male dogs present slightly more\nthan female dogs with male to female ratio 1.72:1. The result of dog\npopulation relative to age in our study is similar toformer studies which\nolder dogs are more common. Fourty-three breeds were represented in our clinic\nduring the six years. The fourth most frequent breeds include the German\nShepherd (10.4 %), the Great Dane (7.5 %) and large mixed breed (7.5 %), and\nthe Dobermans (6.4 %), respectively. The third most frequent clinical signs\nare of distending or tympanic abdomens in 112 (61.87 %), pale mucous membranes\nin 47 (25.96 %), and tachycardia in 45 (24.86 %), respectively. Thirty-two\ndogs have one or more associated radiographic findings of problem with their\ncardiovascular, gastrointestinal and/or reticuloendothelial system. The third\nmost frequent were of GDV with hypovolemic hearts, GDV with gaseous distention\nof the intestinal loop, and each of GDV with spleenomegaly and GDV with\nmegaesophagus, respectively. Of the 181 GDV-involved symptomatic patients, 125\n(69.06 %) dogs were performed gastropexy. Of these 125 dogs underwent\ngastropexy, 113 (90.40 %) dogs survived and were discharged from the hospital.\nOf the 181 GDV-involved symptomatic patients, 40 (22.22 %) dogs were treated\nconservatively. Of these 40 dogs underwent conservative treatment, 26 (65 %)\ndogs were successfully treated and discharged from the hospital. Of the 181\nGDV-involved symptomatic patients, 16 (19.75 %) dogs were performed\nlaparotomy. Of these 16 dogs underwent laparotomy, 15 (93.75 %) dogs were\neuthanized due to irreversible pathologic changes of the stomach, hypovolumic\nshock, arrhythmias, splenic thrombosis and recurrent GDV. No dog which\nunderwent laparotomy died. Only one (6.25 %) was discharged from the hospital\nafter removing a foreign body from the stomach and it has been hospitalized of\n3 days. In this study, overall survival and survival in the surgically treated\ngroup (gastropexy) are 77.35 % and 90.4 %, respectively. It might be concluded\nthat coagulation parameters (aPTT and PT), liver enzymes (ALT, AST, and GLDH),\nplasma ionized calcium, and duration of clinical signs from onset to first\npresentation are prognostic indicators for survival and mortality. According\nto the 90.40 % survival rate of surgically treated group (incorporating\ngastropexy), this technique seem to be more practical to the surgeon to\nperform the immediate surgical correction of GDV.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,002 | 0,000 |
| Bibliométrie | 0,008 | 0,008 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,000 | 0,003 |
| Science ouverte | 0,001 | 0,000 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».