Type of Gastropexy

Pros

Cons

Belt Loop

Fast, simple, strong
Decreased risk of stomach leakage
Stomach fixed to Right abdominal wall

Requires more skill than incisional pexy

Circumcostal

Strong, decreased risk of stomach leakage
Stomach fixed to Right abdominal wall

Risk of pneumothorax, risk of rib fracture.
Requires more time to do, more difficult

Incisional

Fast, simple
Stomach fixed to Right abdominal wall
Decreased risk of stomach leakage

More variation in healing and resultant strength
Relies on only a few sutures in place until adhesion forms

Ventral

Fast, Decreased risk of stomach leakage

Adhesions may impair future surgery if ever needed
Difficult due to depth of the BH abdomen

Tube gastrotomy

Strong adhesions
Allows for release of built up gas/fluid post GDV

Stomach has to be opened to insert tube
risk of leakage
Special post-op management, not as strong as other techniques, premature failure of tube, peritonitis, possible persistent fistula