Causes
Large, deep-chested breeds (Great Dane, German Shepherd, Boxer, Setter, Weimaraner). Risk factors: eating very fast, a single large meal a day, exercise right after eating, a raised food bowl.
Diagnosis
Immediate diagnosis based on the clinical signs plus an X-ray. There is no time for lengthy tests.
Treatment
EMERGENCY SURGERY. The dog is first stabilised (decompression, fluids) and then operated on to reposition the stomach and fix it in place. Every minute counts.
Prevention
In at-risk breeds: split the food into 2-3 meals, use a floor-level bowl, avoid intense exercise 1 hour before and after eating, slow down eating (anti-gulping bowls). Preventive gastropexy during neutering surgery.

