The digestive tract in horses is a complex system responsible for the breakdown and absorption of nutrients essential for maintaining equine health. It includes several key components: the mouth, esophagus, stomach, small intestine, cecum, large colon, small colon, and rectum. Each segment of the digestive tract performs specific functions, from the mechanical breakdown of feed to the enzymatic digestion and absorption of nutrients. The horse's digestive system is uniquely adapted to process fibrous plant material, relying heavily on microbial fermentation, particularly in the hindgut. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, and function of the equine digestive tract, as well as common disorders and their management.
ADAMS KM.The ciliate population of the large intestine of the horse shows large, daily variations. The ventral colon is the site where the ciliate fauna varies most. Two species, Cycloposthium edentatum and C. dentiferum, became established in the large intestine after passage through the stomach and small intestine. The introduction of new species into the ventral colon caused significant changes in the fauna of that part of the gut.
ALEXANDER F, BENZIE D.1. The disposition and surface relations of the alimentary tract of the foal have been studied radiographically.
2. The rate of progress of a barium meal through the digestive tract was determined. The barium traversed the stomach and ileum of the weaned foal faster than that of the suckling foal, but was longer retained in the cæcum and ventral colon of the weaned foal.
Dobbs EC, Acutt EV, Scharf AM, Manzi TJ, Stefanovski D, Bills KW.To investigate the effects of varied feed consistency and administration of xylazine or N-butylscopolammonium bromide on 3 phases of swallowing and characterize esophageal motility following barium administration via nasoesophageal tube. Unassigned: 8 healthy horses were enrolled for 2.5 consecutive weeks. Horses underwent experimental videofluoroscopic swallow studies before and after sedated and anticholinergic interventions. Esophageal motility was assessed with barium administered via nasoesophageal tube and with barium-admixed feedstuffs of 3 consistencies with increasing viscosity. Phase...
Hansen S, Tecles F, Cerón JJ, From C, Carstensen H, Muñoz-Prieto A.The number of horses with equine squamous gastric disease (ESGD) and equine gastric glandular disease (EGGD) recurrence when pharmacological treatment is discontinued is high. Objective: To examine if a commercially available nutraceutical compound containing lecithin, pectin, and meadowsweet could prevent recurrence of both ESGD and EGGD after omeprazole treatment, evaluated by repeated gastroscopic examinations and saliva biomarkers. Methods: Blinded, randomised, placebo-controlled clinical trial. Methods: Thirty horses of mixed breeds and sex with a recent diagnosis and treatment of both ES...
Amaje J, Upton S, Garba UM, Jolayemi KO.Hay nets and slow feeders are designed to mimic natural grazing by prolonging forage intake, thereby supporting digestive health and reducing stress-related behaviours. Their design and use, however, can influence effectiveness and may introduce risks. Objective: This semi-systematic review evaluated the use of hay nets and slow feeders in feeding horses, focusing on their impact on feeding time, behaviour, forage management and health management. Methods: A semi-systematic search across PubMed, ScienceDirect, Google Scholar, and Scopus identified 26 full-text studies published between 2009 an...
Hansen T, Kendall A, Finne R, Law E, Ringdahl A, Nostell K.Abdominal ultrasound is widely used to evaluate the intestinal tract of horses. Despite being a routine examination, there is limited data on the reliability of this diagnostic procedure. Objective: To investigate intra- and inter-rater reliability of ultrasonographic intestinal wall thickness measurements in healthy horses. A second aim was to assess variance within repeated measurements to determine threshold values that distinguish whether differences between repeated examinations are true findings versus solely due to measurement variation. Methods: In vivo reliability study. Methods: Eigh...
Danese T, Asti V, Ablondi M, Raspa F, Cavallini D, Valle E.Colic represents one of the leading causes of morbidity and mortality in equine medicine, with nutritional management recognized as a key modifiable factor influencing postoperative recovery. However, guiding principles for nutritional enteral support in horses after colic remain limited, and current practices are largely empirical. Objective: This scoping review aimed to (1) examine enteral nutritional support protocols reported in literature through a scoping review to map the available evidence on equine clinical nutrition in the context of colic, and (2) propose a physiology-based interpre...
Andrews KE, Sibthorpe PEM, Fitzgerald DM, de Laat MA.Equine insulin dysregulation (ID) is a common condition that predisposes to hyperinsulinaemia-associated laminitis. Improved pathophysiological understanding would enable better management of ID and reduce the risk of laminitis. The incretin peptides, glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), augment the insulin response to dietary glucose and GLP-1 has been implicated in the pathophysiology of ID. However, their temporal variation in response to a low-energy diet has not been reported. This study determined the variation in GLP-1, GIP and insulin ...
Pyles MB, Fowler AL, Crum AD, Hayes SH, Schendel RR, Lawrence LM.Mare milk is the primary source of nutrients for neonatal foals and contains various carbohydrates. Milk oligosaccharides are complex carbohydrates that are resistant to enzymatic digestion and provide support for the immune system and developing microbiome in the neonate. However, factors influencing the synthesis of milk carbohydrates in the mare are not well understood. This study aimed to determine the effects of dietary nonstructural carbohydrate (NSC) on mare milk composition and yield. Thoroughbred mares were paired by age and last breeding date then randomly assigned to one of two diet...
Franzan BC, da Silva Coelho I, Ramos EM, de Souza ARP, de Almeida FQ, Silva VP.This study aimed to investigate the gradual adaptation of the fecal bacterial community and in vitro fermentative capacity of horses fed a complete extruded diet (CED). Twelve geldings weighing 370 kg were removed from a native pasture and fed coastcross hay (Cynodon spp) for 7 days. In the second week, horses were assigned to two groups: one group was fed exclusively with coastcross hay (HAY) for 28 days and the other group fed with weekly increases of CED (30%, 60%, and 100%) to replace HAY. Fecal samples were collected on Days 7, 14, 21, and 28 for microbiota and in vitro fermentati...
Wang C, Wang J, Ma B, Liu T, Yuan X, Meng J, Zeng Y.: This study investigated the effects of dietary bamboo leaf extract (BLE) on milk parameters and intestinal microbiota in lactating mares. : Twenty-four mares of similar age (10 ± 2 years), weight (360.62 ± 15.23 kg) and body condition were selected for this study and randomly divided into four groups of six mares each: an untreated control group (CG) and three experimental groups (EG1, EG2, EG3) were fed a basal diet supplemented with 0, 10, 20, or 30 g/day of BLE, respectively, for 60 days. Then, horse milk composition, antioxidant activity, and immunoglobulin levels along with the rela...
Wei L, Wei J, Liu X, Chen W, Wang C, Khan MZ, Zhang Z.Donkeys () remain nutritionally understudied despite their critical roles in agriculture across developing regions, with current feeding practices inappropriately extrapolating horse standards without accounting for species-specific digestive physiology. No comprehensive synthesis has integrated how dietary modifications systematically alter gut microbial communities to drive measurable health outcomes in donkeys, preventing development of evidence-based feeding strategies. This review critically synthesizes current evidence on donkey nutritional requirements and gut microbiota dynamics to est...
Wottlin LR, Anderson RC, Bhatta R, Leatherwood J, Olson EG, Callaway TR, Ricke SC.Environmental impacts of animal agriculture are under intense scrutiny, thus strategies to decrease greenhouse gas emissions and volatile nitrogen waste are valuable. As dietary inclusion of tannins has been shown to decrease methanogenesis and improve nitrogen retention in ruminants, this study was designed to determine the effects of graded levels of hydrolysable tannin (chestnut) and condensed tannin (mimosa) on equine in vitro cecal fermentation. Methods: Two in vitro experiments were conducted, each with three replications per treatment. Treatments were 0.2 g alfalfa without or with 5, 1...
Asai Y, Tsunetoshi Y, Susa Y, Matsuzawa A, Miyazaki S, Itagaki Y, Yamamoto H, Kimura K, Kushiya H, Sato S, Okada N, Yamabuki T, Kato K, Kinoshita Y....Horse kicks are a rare cause of injury and tend to cause severe complications such as visceral organ injury. Traumatic duodenal injuries are associated with high mortality rates. Furthermore, their reconstructive procedures vary widely and require appropriate on-the-spot judgment by the surgeon. We experienced a case of blunt abdominal trauma with a complete transection of the first portion of the duodenum caused by a horse kick without any associated lesions. A good postoperative course was achieved by trimming the pyloric part of the stomach and performing an end-to-end anastomosis between t...
Gaitan HM, Mudge MC, Litsky AS, Arruda AG, Gardner AK.To compare strength of left paramedian colopexies using various techniques in equine ex vivo models. Methods: Experimental study. Methods: Equine cadavers euthanized for nongastrointestinal pathology (36 specimens derived from 9 horses). Methods: Colopexies were performed after euthanasia. Suture pattern (horizontal mattress vs. cruciate) and incorporation of dorsal sheath of the rectus abdominis (partial-thickness) versus incorporation of dorsal and ventral sheath of the rectus abdominis (full-thickness) were evaluated. Single cycle load to failure, work to peak load, stiffness, and mode of f...
Yerlikaya Z, Miranda-CasoLuengo R, Jahns H, Byrne O, Meijer WG, Mulcahy G, Walshe N.Cyathostomins are the most prevalent and currently considered the most pathogenic gastrointestinal nematodes in horses. Their life cycle includes an encystment phase within the large intestinal mucosa, where up to 90 % of the total worm burden resides. Clinical disease ranges from chronic protein-losing enteropathy to acute, sometimes fatal, typhlocolitis. Despite their significance, the ecological interplay between cyathostomins, the host immune response, and the gut microbiota remains poorly understood. To our knowledge, this is the first study to investigate these interactions at the mucos...
Sunderland KA, Affolter VK, Cassano JM, Berryhill EH, Morgan JM.To determine the main causes of death in aged horses residing at a retirement facility in California. Unassigned: A retrospective cross-sectional study design was utilized to evaluate signalment, medical history, and necropsy reports of horses aged 20 years or older at death and housed at a single retirement facility. All cases underwent a standard post mortem evaluation from 2010 through 2020 by the University of California-Davis William R. Pritchard Veterinary Medical Teaching Hospital. Euthanasia decisions were made by the retirement facility staff in consultation with a veterinarian. The m...
Hart KJ, Hegarty MJ, Hart EH.It is more evident that horse health is linked to the gastrointestinal tract and microbial community structure (MCS) as affected by diet. There are many marketed feeds available to enhance nutrition for horses, however the effects of these feeds on hindgut MCS are largely unknown. Objective: The aim was to test the effect of a complementary forage feed (FF) on the fermentation profile and MCS in contrasting basal diets. Methods: A 2×2 factorial design was used to assess the effect of basal diet, forage only (FOR) or forage/concentrate (MIX), and presence/absence of FF on fermentation paramete...
Freccero F, Padalino B, Carstens A, Raidal SL.Point of care ultrasonographic (POCUS) assessment of the equine abdomen is now readily available to the equine practitioner using hand-held ultrasound transducers. Commonly used medications may alter the sonographic appearance or function of the small intestine, caecum or colon. Objective: To demonstrate qualitative and quantitative effects of xylazine sedation on intestinal motility of healthy horses using hand-held, wi-fi ultrasound transducers and validate POCUS methodology by determination of intra- and interobserver agreement. Methods: Double-blind cross-over study of eight healthy horses...
Bustamante CC, Pereira PAM, Fernandes CC, Canola PA, Doria RGS, Costa MC, Valadão CAA.Starch overload induces dysbiosis primarily through a reduction in cecal pH. This study aimed to evaluate the cecal microbiota following excessive starch intake, with or without the administration of an intracecal buffering solution. We hypothesized that the buffering solution would mitigate changes in the intestinal microbiota and associated clinical signs. Ten horses were randomly assigned to two groups, each receiving distinct treatments (Group I: saline solution [WSa] and starch-buffer [SB]; Group II: buffer-water [WB] and starch-saline [SSa]). Following starch overload (17.6 g/kg body wei...
Abraham AJ, Duvall ES, Doughty CE, Riond B, Ortmann S, Terranova M, le Roux E, Clauss M.The assimilation, retention, and release of nutrients by animals fundamentally shapes their physiology and contributions to ecological processes (e.g., zoogeochemistry). Yet, information on the transit of nutrients through the bodies of large mammals remains scarce. Here, we examined how sodium (Na), a key element for animal health and ecosystem functioning, travels differently through fecal and urinary systems of cows (Bos taurus) and horses (Equus ferus caballus). We provided a large dose of Na and compared its timing of release in feces and urine to that of nonabsorbable markers. Na excreti...
Li M, Lin J, Ma C, Wei G, Hu Q, Li X.L-selenomethionine (L-SeMet), a highly bioavailable organic form of selenium, plays a critical role in maintaining antioxidant homeostasis, regulating reproductive hormone secretion, and improving intestinal microbial ecology. Previous studies have demonstrated that appropriate supplementation with L-SeMet can significantly enhance the production performance and health status of ruminants. However, the nutritional regulatory mechanisms and physiological effects of L-SeMet in monogastric herbivores, particularly horses during mid- to late gestation, remain inadequately understood. Therefore, th...
Smith MA, Ripley N, Gravatte H, Nielsen MK.With rising anthelmintic resistance in adult cyathostomins, the most pervasive equine parasites, the need to assess larvicidal efficacy has increased, yet available methods remain limited. Encysted larvae are quantified using mucosal digestion, wherein a 5% subsample of intestinal mucosa is processed, and a 2% aliquot is counted for early third stage (EL3) and late third stage/mucosal fourth stage (LL3/L4) larvae. This method is imprecise and post-treatment larval differences are often not observed. The following study aimed to assess standard and modified protocol precision and sensitivity. I...
