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Local Effects

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Gastric distension will decrease intramural blood flow and result in stasis, thrombosis, and hypoperfusion to the stomach wall. Gastric rotation will decrease this further; the greater the degree of rotation, the more severe the reduction in gastric blood flow. At its most severe, there will be cessation in blood flow to areas of the stomach that may result in necrosis and possible gastric perforation. Rotation of the stomach can cause stretching and possible rupture of the short gastric arteries, resulting in hemorrhage. In up to 38% of dogs, there will be compromise to the spleen, including torsion and damage to arterial supply, requiring splenectomy [23].

Small Animal Surgical Emergencies

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