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Chik et al: Comparison of short-term outcomes and recurrence rates in dogs undergoing open right-sided barbed suture gastropexy and standard incisional gastropexy for treatment of gastric dilatation-volvulus
Veterinary Surgery 2, 2026

Comparison of short-term outcomes and recurrence rates in dogs undergoing open right-sided barbed suture gastropexy and standard incisional gastropexy for treatment of gastric dilatation-volvulus

🔍 Key Findings

  • Barbed suture gastropexy (BSG) significantly reduced surgical time compared with standard incisional gastropexy (SIG) when performed alone (53.3 vs 62.6 min, p = .03).
  • Perioperative mortality was 5.79% (7/121) and did not differ between techniques (SIG 5/63 vs BSG 2/58; p = .28).
  • No significant difference in perioperative or postoperative complication rates between BSG and SIG (p = .12).
  • Recurrence of GDV or gastric dilatation without volvulus did not differ between groups, supporting comparable efficacy of the techniques.
  • Postoperative gastrointestinal signs occurred in ~23% of dogs, with no difference between techniques (p = .33).
  • BSG uses abrasion and a single continuous barbed suture without seromuscular incisions, simplifying the procedure.
  • Study cohort included 121 dogs (BSG n = 58; SIG n = 63) treated surgically for GDV at a referral hospital.
  • Overall conclusion: barbed suture gastropexy is a viable alternative to incisional gastropexy, offering shorter operative time with comparable outcomes and recurrence risk.

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← Articles

Chik et al: Comparison of short-term outcomes and recurrence rates in dogs undergoing open right-sided barbed suture gastropexy and standard incisional gastropexy for treatment of gastric dilatation-volvulus
Veterinary Surgery 2, 2026

🔍 Key Findings

  • Barbed suture gastropexy (BSG) significantly reduced surgical time compared with standard incisional gastropexy (SIG) when performed alone (53.3 vs 62.6 min, p = .03).
  • Perioperative mortality was 5.79% (7/121) and did not differ between techniques (SIG 5/63 vs BSG 2/58; p = .28).
  • No significant difference in perioperative or postoperative complication rates between BSG and SIG (p = .12).
  • Recurrence of GDV or gastric dilatation without volvulus did not differ between groups, supporting comparable efficacy of the techniques.
  • Postoperative gastrointestinal signs occurred in ~23% of dogs, with no difference between techniques (p = .33).
  • BSG uses abrasion and a single continuous barbed suture without seromuscular incisions, simplifying the procedure.
  • Study cohort included 121 dogs (BSG n = 58; SIG n = 63) treated surgically for GDV at a referral hospital.
  • Overall conclusion: barbed suture gastropexy is a viable alternative to incisional gastropexy, offering shorter operative time with comparable outcomes and recurrence risk.

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Multiple Choice Questions on this study

In Chik 2026 et al., on barbed gastropexy outcomes, which statement best describes recurrence outcomes between barbed suture gastropexy (BSG) and standard incisional gastropexy (SIG)?

A. BSG had significantly higher GDV recurrence than SIG
B. SIG had significantly higher GDV recurrence than BSG
C. There was no significant difference in recurrence of GDV or gastric dilatation without volvulus between techniques
D. BSG prevented all recurrences while SIG had several
E. SIG eliminated gastric dilatation recurrence but not volvulus recurrence

Answer: There was no significant difference in recurrence of GDV or gastric dilatation without volvulus between techniques

Explanation: The study found similar recurrence rates between techniques, indicating comparable efficacy.
In Chik 2026 et al., on barbed gastropexy outcomes, which finding best describes the difference in surgical time when barbed suture gastropexy (BSG) was compared with standard incisional gastropexy (SIG) performed alone?

A. BSG had significantly longer surgical time than SIG
B. BSG had significantly shorter surgical time than SIG
C. BSG and SIG had identical surgical times
D. BSG was only faster when additional procedures were performed
E. SIG was faster but required more sutures

Answer: BSG had significantly shorter surgical time than SIG

Explanation: BSG significantly reduced operative time (53.3 vs 62.6 min) when performed as the sole procedure.
In Chik 2026 et al., on barbed gastropexy outcomes, what proportion of dogs experienced postoperative gastrointestinal signs after surgery?

A. 5%
B. 12%
C. 23%
D. 40%
E. 60%

Answer: 23%

Explanation: Postoperative GI signs such as vomiting or retching occurred in approximately 23% of dogs with no difference between groups.
In Chik 2026 et al., on barbed gastropexy outcomes, what was the reported perioperative mortality rate for dogs undergoing surgery for GDV in the study population?

A. 1%
B. 5.79%
C. 10%
D. 18%
E. 25%

Answer: 5.79%

Explanation: The study reported perioperative mortality of 7/121 dogs (5.79%), with no difference between techniques.
In Chik 2026 et al., on barbed gastropexy outcomes, which technical characteristic distinguishes barbed suture gastropexy (BSG) from standard incisional gastropexy?

A. Creation of a full-thickness gastric incision
B. Use of multiple interrupted sutures
C. Use of abrasion and a continuous knotless barbed suture without seromuscular incisions
D. Placement of circumcostal sutures around ribs
E. Use of nonabsorbable braided suture only

Answer: Use of abrasion and a continuous knotless barbed suture without seromuscular incisions

Explanation: BSG avoids seromuscular incisions and uses abrasion and a single continuous barbed suture line.

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