Gastric dilatation and volvulus (GDV), also known as bloat, occurs when a dog's stomach enlarges with gas or fluid and rotates on its axis. It can cause shock and organ damage due to reduced blood flow. Risk factors include age, breed, eating habits. Diagnosis is made via x-rays showing abnormal stomach positioning. Treatment involves stabilizing the patient, decompressing the stomach, surgically correcting the rotation, and attaching the stomach to the abdominal wall to prevent future twisting (gastropexy). Post-operative care focuses on monitoring for arrhythmias and providing supportive care like IV fluids and antibiotics.