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Torsio ventriculi

A representation of Torsio ventriculi

Torsio ventriculi, also known as gastric torsion, is a life-threatening condition that mainly affects large dogs. It involves the stomach turning on its own axis and cutting off the blood supply. If you have a dog, you should know how to recognize the symptoms and what to do in an emergency.

What is torsio ventriculi?

A dog's stomach is normally attached to the abdominal wall and the diaphragm. However, when the stomach fills with gas or food, it can rotate around its longitudinal axis. This is called torsio ventriculi or gastric torsion. The entrances and exits of the stomach as well as the blood vessels are pinched off. The stomach can no longer empty itself and becomes increasingly swollen. This leads to severe pain, shock and internal bleeding. If the condition is not treated quickly, the dog can die within a few hours.

What are the causes of torsio ventriculi?

The exact causes of torsio ventriculi are not known. However, there are some factors that can increase the risk, such as

  • The size and shape of the dog: Large dogs with deep chests are more likely to be affected than small dogs. Breeds such as Great Danes, St. Bernards, Boxers, Rottweilers and Weimaraners are particularly at risk.
  • Feeding: If the dog eats too quickly or too much, its stomach can overstretch and twist. If the dog drinks a lot of water shortly before or after eating or moves around a lot, this can also lead to problems.
  • The predisposition: Some dogs have a congenital weakness of the gastric ligaments or an abnormal position of the stomach. This makes them more susceptible to torsio ventriculi.
  • Stress: Stressful situations such as visits to the vet, traveling or thunderstorms can make dogs nervous and affect their digestion.

What are the symptoms of torsio ventriculi?

The symptoms of torsio ventriculi usually appear suddenly and without warning. They can vary depending on the severity, but typically include

  • Restlessness and anxiety
  • Gagging or vomiting without success
  • Bloated abdomen
  • shortness of breath
  • Weakness or collapse
  • Pale mucous membranes
  • Rapid pulse

If you notice these signs in your dog, you should see a vet immediately. Every minute counts!

How is torsio ventriculi treated?

The treatment of torsio ventriculi consists of two steps: Stabilizing the dog and surgery.

First, the vet must examine the dog and give him painkillers and infusions to stabilize his circulation. Then he must try to deflate the stomach by inserting a tube through the esophagus or inserting a needle through the abdominal wall. This should reduce the pressure in the stomach and improve blood circulation.

The dog must then undergo surgery to reposition and fix the stomach in the correct position. This is called gastropexy. The stomach is sutured to the abdominal wall so that it can no longer rotate. The vet must also check whether other organs such as the spleen or liver are damaged and remove them if necessary.

The operation is complicated and risky. The dog must be closely monitored afterwards and needs several weeks to recover.

How can torsio ventriculi be prevented?

There is no guarantee that torsio ventriculi can be prevented, but there are some measures that can reduce the risk:

  • Feed your dog small portions several times a day instead of one large meal.
  • Avoid giving your dog a drink or exercise just before or after eating.
  • Choose a high-quality food that is easily digestible and contains little air.
  • Reduce stress for your dog by providing a calm and safe environment.
  • Have your dog checked regularly by a vet to detect any potential health problems at an early stage.
  • Consider having your dog operated on prophylactically if it belongs to a risk group. This can significantly reduce the likelihood of a stomach torsion.

Torsio ventriculi is a serious disease that can quickly lead to death. If you have a dog, you should be aware of it and be vigilant. If you recognize the symptoms in time and take action, you can save your dog's life.


The authors assume that a veterinarian should be consulted if an animal is ill and that medication should only be taken after consultation with a doctor or pharmacist. Only an individual examination can lead to a diagnosis and treatment decision.

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