For large and deep-chested dogs, a preventive laparoscopic gastropexy is intended to reduce the risk of life-threatening stomach twisting (GDV). Below, Dr. Antonio Pedraza explains how the keyhole procedure works and who may benefit, at our Santa Monica clinic.
What is gastric dilatation-volvulus (GDV)?
Gastric dilatation is expansion of the stomach with gas. GDV occurs when the stomach also twists on itself. The twist cuts off blood flow and traps gas, causing rapid deterioration. It is a true emergency that can be fatal within hours without immediate treatment, which is why prevention matters for at-risk dogs.
Which breeds are at risk?
Large, deep-chested breeds are most prone to GDV. Commonly affected dogs include:
- Great Dane
- German Shepherd
- Standard Poodle
- Weimaraner
- Boxer
- Doberman
- Other large, deep-chested breeds
How laparoscopic gastropexy works
In a gastropexy, the stomach is secured to the abdominal wall to reduce the risk of twisting. Gastric dilatation can still occur after gastropexy. Abdominal distension or repeated unproductive retching requires urgent veterinary assessment, even after the procedure. Using the minimally invasive keyhole approach, Dr. Pedraza performs the procedure through small incisions with an HD camera for precise visualization — avoiding a large open incision. It can often be combined with a laparoscopic spay in a single anesthetic event.
Read our gastropexy guide for dog families for more on candidacy, recovery and questions to ask.
Recovery and what to expect
Discharge timing depends on recovery from anesthesia, the individual patient and any combined procedures. The team explains activity restrictions, incision care and follow-up before your dog goes home.
When to consider it
Preventive gastropexy is most often considered for at-risk breeds, frequently at the same time as a spay or neuter. The right timing and suitability depend on your dog's age, health and lifestyle — Dr. Pedraza provides an individual evaluation and recommendation for each patient.
Have questions first? Contact our Santa Monica clinic to discuss whether laparoscopic gastropexy is right for your dog.
This page is educational and does not replace an individual veterinary consultation.
Frequently asked questions
Clinical background and sources
These resources explain the general techniques and care considerations. Your veterinary team determines how they apply to your companion and the proposed procedure.
American College of Veterinary Surgeons
Gastric Dilatation-VolvulusStomach dilatation and rotation, gastropexy and its limits. Emergency GDV care differs from preventive surgery.
American Animal Hospital Association
2020 AAHA Anesthesia and Monitoring Guidelines for Dogs and CatsIndividual pre-anesthetic assessment, monitoring and the transition into recovery.
This page is educational and does not replace an individual veterinary examination. It is not for emergencies — if your companion is in distress, contact an emergency veterinary hospital. Los Angeles Laparoscopy Vet at Sevilla Veterinary Hospital, 2116 Main Street, Santa Monica.