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Although a properly performed gastropexy will prevent recurrence of volvulus, it does not prevent recurrent bloat. This is more of a problem in dogs with the chronic form of the disease. In these situations, management can be challenging, but possible interventions include a diet trial, in case of dietary insensitivity or placement of a gastrostomy tube to allow continuing decompression. In dogs with chronic gastric volvulus (over a period of months) or recurrent gastric dilatation, the authors would recommend performing a tube gastropexy.