Why is torsion in horses still as deadly now as it was back in the 1930s despite advancements in veterinary medicine?

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Got curious about torsion in horses while reading All Creatures Great and Small by James Herriot. The book takes place in the 1930s, but when I did a quick search it seems it is as deadly now.

ETA: By veterinary medicine I mean all treatments, including surgery, not just drugs.

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