最後更新：2026年10月1日
胃固定術為將胃壁固定於腹壁的手術，目的在預防胃擴張扭轉（GDV）。為深胸大型犬（大丹犬、德國牧羊犬等）的重要預防性手術，可在絕育手術時同時進行。方法包括切割縫合固定術與腹腔鏡輔助固定術。
貓亦有適應症但頻率較犬低。
Gastric dilatation-volvulus (GDV) is a life-threatening emergency in deep-chested large breed dogs. Chronic enteropathy (food-responsive, antibiotic-responsive, immunosuppressant-responsive) requires systematic diagnostic workup. Pancreatitis is common in Miniature Schnauzers and obese dogs.
可點的項目會開啟該疾病頁。要依症狀與檢驗排出完整清單，請用鑑別診斷工具。
建議：LRS 或 Plasmalyte，矯正脫水 (deficit) + 維持量 + 持續損失量
類型：LRS
監測頻率：每日評估
[1]Gastric torsion associated with a type IV hiatal hernia in two cats.
[2]Canine Prophylactic Gastropexy: A Cross-Sectional Study of Irish Veterinary Professionals' Attitudes and Current Practices.
[3]Retrospective study of tetanus in 18 dogs-Causes, management, complications, and immunological status.
[4]Perioperative characteristics and long-term outcomes following prophylactic total laparoscopic gastropexy using a novel knotless tissue control device in 44 dogs.
建議數日內就診評估，非立即危及生命但不宜拖延 (evaluation within days recommended, not immediately life-threatening)
預後極佳。預防性胃固定術可將 GDV 風險降低至接近零。腹腔鏡方法恢復快。
Diagnostic Approach for Gastropexy
Assess duration, frequency of vomiting/diarrhea; abdominal palpation for pain, masses, or fluid
CBC, serum chemistry, urinalysis; fecal examination including flotation and direct smear
Abdominal radiographs and/or ultrasound to evaluate GI tract, liver, pancreas
Upper/lower GI endoscopy with biopsy for chronic cases; surgical exploration for obstruction