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Topic:Disease Prevention

Disease prevention in horses encompasses strategies and practices aimed at minimizing the occurrence and spread of infectious and non-infectious diseases within equine populations. These practices include vaccination programs, biosecurity measures, and regular health monitoring. Vaccination helps to stimulate the horse's immune system to protect against specific pathogens, while biosecurity measures, such as quarantine and sanitation, reduce the risk of disease transmission. Regular health monitoring, including physical examinations and diagnostic testing, aids in early detection and management of potential health issues. This page compiles peer-reviewed research studies and scholarly articles that explore various methods and their effectiveness in preventing diseases in horses, as well as the development and implementation of prevention programs in different equine settings.
The importance of prebiotics in managing colic in horses: focus on Akkermansia muciniphila and its anti-inflammatory potential.
Frontiers in veterinary science    February 24, 2026   Volume 13 1759381 doi: 10.3389/fvets.2026.1759381
Cottone A, Seiter K, Thomas B, Schank N, Wulf M, Miller L, Anderson S, Munkhsaikhan U, Verma A, Abidi AH, Kassan M.Colic remains one of the most frequent and costly causes of equine morbidity and mortality, with significant welfare and economic implications. Disturbances in the gut microbiome are increasingly recognized as an important contributing factor. In recent years, prebiotics, non-digestible substrates that promote beneficial microbes, have emerged as promising microbiome-targeted strategies. () has gained attention for its unique ability to degrade mucin, maintain epithelial integrity, and exert potent anti-inflammatory effects. Although its benefits are well established in humans and rodent mode...
Fragile foal syndrome: manifestations, heterozygous advantage and the future of breeding policies.
Journal of equine veterinary science    February 20, 2026   Volume 159 105816 doi: 10.1016/j.jevs.2026.105816
Gartland KL, Leśniak K, Twigg-Flesner A.Scientific interest in relation to Fragile Foal Syndrome (FFS) has proliferated in the last decade, but before this, many clinical cases were attributed to other similarly presenting equine neonatal disorders. It was thought that FFS-affected foals were mainly miscarried throughout gestation, but recent study results suggest that often, foals are born alive and die shortly after birth. FFS is proposed to have originated as long ago as the Godolphin Arabian, but the definite derivation of the mutant allele is unconfirmed. The discovery that FFS is present in 11-30% of Warmbloods and 2-3% of Tho...
Updates on Diagnosis and Treatment of Guttural Pouch Conditions.
The Veterinary clinics of North America. Equine practice    February 20, 2026   Volume 42, Issue 1 87-97 doi: 10.1016/j.cveq.2025.12.008
Mudge M, Hostnik LD.The complex anatomy and unique features of the equine guttural pouch create diagnostic and treatment challenges. Novel surgical approaches, as well as transendoscopic devices and medications, have improved the management of guttural pouch conditions, such as mycosis, empyema, tympany, and temporohyoid osteoarthropathy. Guidelines for Streptococcus equi subspecies equi diagnosis and disinfection protocols are strengthened by new evidence for point-of-care polymerase chain reaction, serial sampling for determining carrier status, and evaluation of disinfection techniques.
Parasite management practices used by owners of Australian Pony Club horses and the factors influencing their decision-making processes.
Australian veterinary journal    February 19, 2026   doi: 10.1111/avj.70064
Nixon W, Buckley P, Butler R.There is a lack of information on horse parasite management practices currently used by individual horse owners in Australia. A voluntary, anonymous online survey was developed for and distributed by Pony Club Australia to its members seeking information on horse population; housing; paddock, manure and parasite management; and owner attitudes. From a total of 98 completed responses, 95/98 of participants indicated their horses spent time in paddocks, 91/98 administered anthelmintics, 42/98 guessed their horse's body weight for dosing, 78/98 recalled the dewormer brand or active ingredient las...
Characterisation of Salmonella Typhimurium from a fatal equine nosocomial outbreak and retrospective analysis of equine clinic salmonellosis cases (2010-2025).
Scientific reports    February 18, 2026   Volume 16, Issue 1 9787 doi: 10.1038/s41598-026-40617-0
K-Jánosi K, Sztojka A, Kis IE, Biksi I, Bakos Z, Kaszab E, Mag T, Albert E.In 2024, a highly fatal outbreak of equine salmonellosis occurred in a Hungarian equine referral hospital, resulting in the death or euthanasia of four out of five affected horses. () subsp. serovar Typhimurium was identified as the primary causative agent from equine faecal, reflux, and post-mortem intestinal content samples, while one case involved Coeln. Extensive environmental sampling during the outbreak also yielded multiple serovars. Whole-genome sequencing revealed a high degree of genetic relatedness among the Typhimurium isolates, confirming nosocomial transmission. The source ...
Multi-Kingdom Fecal Microbiota Alterations in Horses with Severe Equine Asthma.
Microorganisms    February 17, 2026   Volume 14, Issue 2 484 doi: 10.3390/microorganisms14020484
Santos R, Hunyadi L, Sundman E, Morales Luna L, Hyde SC, Cain M, Migl K, Ancira J, Tipton C, Rosa F.Severe equine asthma (SEA) is a chronic inflammation of airways affecting ~14-20% of adult horses in the Northern Hemisphere. SEA is characterized by a mixed phenotype of T helper cell responses with marked neutrophilia in the bronchoalveolar lavage fluid (BALF) of affected horses. Human studies have demonstrated the impact of gut microbiota in many diseases, including asthma susceptibility and severity. However, the potential role of the gut-lung axis in the development and persistence of SEA remains to be determined. This study aimed to identify key bacterial, archaeal, and fungal microbiota...
Chasing safety: Race-day falls and injuries in Irish professional and amateur horseracing from 2016 to 2024.
Journal of science and medicine in sport    February 16, 2026   Volume 29, Issue 9 975-981 doi: 10.1016/j.jsams.2026.02.007
Reville A, Corrigan J, Pugh J, O'Connor S.This study aimed to: 1) examine fall and injury incidence in Irish horseracing between 2016 and 2024, 2) establish injury characteristics, 3) compare incidence rates between professional and amateur racing and 4) investigate changes in incidence rates over time. Methods: Descriptive epidemiology study. Methods: Fall and injury data was recorded by Irish Horseracing Regulatory Board (IHRB)-appointed medical doctors using a standardised injury report form at every Irish race meeting between 2016 and 2024. Fall and injury incidence, injury location and type of injury were reported with 95% Confid...
The majority of proximal sesamoid and condylar fractures occurred in horses identified as high risk by inertial measurement unit sensors.
Journal of the American Veterinary Medical Association    February 13, 2026   1-10 doi: 10.2460/javma.25.08.0556
Hall NP, Sweeney DM, Holmströem M, Kim W, Wang Y, Donahue KD, Palmer SE, Lambert DH, Bayly WM.To determine whether targeted lesion-specific algorithms developed from data collected with accelerometer-based inertial measurement units worn by racing Thoroughbreds could retrospectively identify horses at high risk of incurring forelimb condylar or proximal sesamoid fractures. Unassigned: Fracture-specific algorithms were generated from July 2021 to December 2024 with accelerometer data from 42,623 races by 15,755 horses, including 54 races by 23 horses that subsequently suffered condylar fractures and 90 races by 31 horses that later sustained proximal sesamoid fractures. Fracture-specifi...
Antiparasitic potential of Caesalpinia coriaria: Current evidence and prospects for equine health.
Journal of equine veterinary science    February 13, 2026   Volume 159 105806 doi: 10.1016/j.jevs.2026.105806
Castillo JDCR, Forte L, Elghandour MMMY, Maggiolino A, De Palo P, Ponce-Covarrubias JL, Salem AZM.Parasitic infections remain a major constraint to equine health and performance, and the worldwide rise of anthelmintic resistance is forcing a shift toward integrated parasite management and new complementary tools. Caesalpinia coriaria (Divi-divi) pods are exceptionally rich in tannins and have been proposed as a potential source of antiparasitic phytochemicals. This review summarizes the current evidence on C. coriaria, focusing on its relevance to equine gastrointestinal helminths. Most available data come from in vitro screening against ruminant nematode models (mainly Haemonchus contortu...
A novel oral immunotherapy strategy using transgenic barley induces Culicoides allergen-specific immune responses in horses.
Frontiers in immunology    February 10, 2026   Volume 17 1774358 doi: 10.3389/fimmu.2026.1774358
von der Höden FJ, Stefansdottir SB, Torsteinsdottir S, Svansson V, Björnsson JM, Wagner B, Mahmuti D, Marti E, Jonsdottir S.Insect bite hypersensitivity (IBH) is a seasonal, IgE-mediated allergic dermatitis of horses caused by salivary gland proteins of biting midges ( spp.). Current management relies on relief of clinical signs and on physical protection. In a previous pilot study, healthy horses were fed transgenic barley expressing a allergen via a special spiral bit, which successfully induced allergen-specific antibody responses. Building on this concept, the present study aimed to evaluate a more practical feeding approach, delivering transgenic barley expressing the major allergen Cul o 2p in a feed-compat...
Spirulina supplementation regulates inflammation and supports cartilage health in adult sedentary horses following moderate-intensity exercise.
Journal of equine veterinary science    February 7, 2026   Volume 158 105804 doi: 10.1016/j.jevs.2026.105804
Golestani NG, Paton MP, Ross BR, Wildish AW, Duarte MSD, Williams CAW, Pearson WP.Horses experience rapid physiological, inflammatory, and oxidative responses during exercise. Spirulina, a nutrient-dense microalga with antioxidant and anti-inflammatory properties, may help modulate these responses and support recovery. Objective: This study evaluated the effects of 30-day dietary Spirulina supplementation on physiological, inflammatory, and oxidative stress responses to moderate-intensity exercise in sedentary horses. We hypothesized that 30-day Spirulina supplementation would modulate hematologic and inflammatory responses and support recovery from moderate-intensity exerc...
Enhancing African horse sickness virus detection: comparing and adapting PCR assays. Penzhorn L, Crafford JE, Guthrie AJ.African horse sickness (AHS) is the only equine disease for which the World Organisation for Animal Health (WOAH) gives official disease-free status, given that it poses a major threat to the equine industry. The disease is caused by AHS virus (AHSV; family , taxon species ), which is endemic in sub-Saharan Africa. Reverse-transcription quantitative real-time PCR (RT-qPCR) is a rapid, sensitive detection method used in the diagnosis of AHS and the certification of animals as negative for AHSV for the purpose of movement. Genetic variability of AHSV may influence the accuracy of RT-qPCR detecti...
Feasibility and acceptability of meticillin-resistant Staphylococcus aureus biosecurity measures in equine facilities: A cross-sectional study.
The Veterinary record    January 31, 2026   doi: 10.1002/vetr.70338
Planes P, Arsenault J, Allano M, Sauvé F.Biosecurity measures are recommended in stables housing meticillin-resistant Staphylococcus aureus (MRSA)-positive horses, but their feasibility and acceptability, as well as their implementation barriers, remain unclear. Methods: A cross-sectional study was conducted among clients of a veterinary teaching hospital using an online questionnaire. Information on horse activities, stable characteristics and perceptions (feasibility and acceptability scores) of recommended biosecurity measures for MRSA-positive horses was collected. Results: Fifty-seven horse and/or stable owners completed the que...
Clostridioides difficile infection in animals: a literature review.
Anaerobe    January 28, 2026   Volume 97 103028 doi: 10.1016/j.anaerobe.2026.103028
Uzal FA, Navarro MA, Asin J, Henderson E.Clostridioides difficile affects humans, and several other animal species, such as horses, pigs, gerbils, guinea pigs, hamsters, and rabbits. This microorganism has also been isolated from the gastrointestinal tract of healthy individuals of a wide variety of animal species in which its association with disease is not known. Traditionally, in most domestic animal species, C. difficile-infection disease (CDI) was antibiotic-associated, although in the past few years more cases in which no antibiotic association was known have been described. In addition, no antibiotic association has been descr...
Identifying Host-Characteristics and Management Risk Factors in a California Equine Herpesvirus Myeloencephalopathy (EHM) Outbreak.
Veterinary sciences    January 27, 2026   Volume 13, Issue 2 121 doi: 10.3390/vetsci13020121
Gordon S, Pusterla N, Finno CJ, Young A, Martínez-López B.Equine alphaherpesvirus-1 (EHV-1) is a highly contagious virus that can cause the neurological form, equine herpesvirus myeloencephalopathy (EHM). Understanding transmission-related risk factors is crucial for improving prevention strategies and guiding effective control measures. In this study, we collected data from 63 horses that had previously participated in the February 2022 winter horse show season at the Desert International Horse Park (DIHP) (26 cases and 37 controls) to identify host and management factors associated with EHV-1 infection and/or EHM development during the February 202...
The trajectories of relative concentrations of antirhodococcal immunoglobulin A differ from those of immunoglobulin G subisotypes in bronchoalveolar lavage fluid but not serum of foals.
American journal of veterinary research    January 27, 2026   1-8 doi: 10.2460/ajvr.25.11.0402
Aucoin AA, Zhidkov V, Legere RM, Borba KER, Landrock KK, Parker LE, Bray JM, Bordin AI, Cohen ND.To characterize age-related trajectories of the relative concentrations of anti-virulence-associated protein A (VapA) immunoglobulin (Ig)-G1, IgG3/5, IgG4/7, and IgA in serum and bronchoalveolar lavage fluid (BALF) as indicators of systemic and intrapulmonary immune responses in foals naturally exposed to Rhodococcus equi. Unassigned: Blood and BALF samples were collected at ages 4, 14, 28, and 56 days from healthy Quarter Horse foals (n = 19) naturally exposed to R equi. Samples were tested via ELISA for relative concentration of IgG1, IgG3/5, IgG4/7, and IgA recognizing the VapA of R equi. D...
Biosecurity perspectives of equestrian competition organizers in Ontario, Canada.
Frontiers in veterinary science    January 23, 2026   Volume 12 1713303 doi: 10.3389/fvets.2025.1713303
Turcotte GK, O'Sullivan TL, Spence KL, Winder CB, Greer AL.Biosecurity plays an important role in the prevention and control of infectious disease outbreaks in the equine population. With competition organizers responsible for implementing and upholding biosecurity requirements at competitions, it is important to understand the biosecurity landscape at these locations where Ontario horses commonly travel and interact in large group settings. Unassigned: The objective of this study was to describe the perspectives, challenges and experiences of competition organizers of both sanctioned and unsanctioned events in Ontario, Canada regarding implementing e...
Comparison of a Single-Shot Antibiotic Protocol Compared to a Conventional 5-Day Antibiotic Protocol in Equine Diagnostic Laparotomy Regarding Pre- and Postoperative Colonization with Multi-Drug-Resistant Indicator Pathogens.
Antibiotics (Basel, Switzerland)    January 21, 2026   Volume 15, Issue 1 106 doi: 10.3390/antibiotics15010106
Stöckle SD, Kannapin DA, Merle R, Lübke-Becker A, Gehlen H. The emergence and spread of multi-drug-resistant (MDR) bacteria pose a growing threat in veterinary medicine, particularly in equine hospitals. This study investigated the colonization and infection dynamics of horses undergoing emergency laparotomy with two distinct antibiotic protocols (single-shot versus 5-day protocol) during hospitalization. Nasal swabs and fecal samples were collected from 67 horses undergoing emergency laparotomy at clinic admission as well as on postoperative days 3 and 10. These were screened for multi-drug-resistant indicator pathogens. As multi-drug-resistant indi...
Evaluation of oxidative stress in the newborn foal: a multibiomarker approach.
Journal of equine veterinary science    January 20, 2026   Volume 158 105786 doi: 10.1016/j.jevs.2026.105786
Bindi F, Cingottini D, Sorvillo B, Sala G, De Marchi L, Monni G, Celardo S, Bonelli F, Sgorbini M.During the perinatal period, neonates experience a sudden increase in oxygen exposure, predisposing them to oxidative stress. Objective: This prospective, in vivo study aimed to evaluate biomarkers of oxidative stress and antioxidant defence in healthy neonatal foals during the first 48 hours of life. Methods: Ten Standardbred foals were enrolled. Blood samples were collected at birth, 24 hours, and 48 hours after birth and analyzed for biomarkers using spectrophotometry assays. Statistical analysis was performed using non-parametric tests and linear regression. Results: The results revealed s...
Toxic plants affecting livestock in South America: Review of epidemiology, diagnosis, control, economic impact and implications to human health.
Toxicon : official journal of the International Society on Toxinology    January 19, 2026   Volume 273 108999 doi: 10.1016/j.toxicon.2026.108999
Riet-Correa F, Micheloud JF, Machado M, Mendonça FS, Schild AL, Uzal FA, Lemos RAA.The objective of this paper is to review the information on toxic plants for ruminants and horses in South America, a continent in which there are 237 plants known to be toxic for livestock. Predisposing factors for plant toxicity include parts or vegetative state of the plants consumed, sprouting after rains, toxic dose, social facilitation, palatability, hunger, thirst, naivete, ingestion period, susceptibility/resistance, transportation, climatic alterations, and environmental degradation. Toxic plants can be forage or non-forage species. The latter can be invasive plants from other regions...
Risk assessment for condylar stress fracture in elite racing Thoroughbreds using standing computed tomography-based virtual mechanical testing.
Equine veterinary journal    January 18, 2026   Volume 58, Issue 3 674-681 doi: 10.1002/evj.70145
Brown NL, Irandoust S, Thom EJ, Whitton RC, Henak CR, Muir P.Condylar stress fracture of the third metacarpal bone (MC3) is a common catastrophic injury in Thoroughbred racehorses and is associated with parasagittal groove (PSG) subchondral osteolysis. Standing computed tomography (sCT) imaging enables sensitive identification of this fatigue-induced early subchondral bone injury (SBI), but there is no objective method for identifying racehorses at heightened risk of condylar stress fracture. Objective: To estimate PSG first principal strain in elite Thoroughbred racehorses that have undergone subjective risk assessment using sCT fetlock screening. Meth...
Serological Assays to Measure Rabies Antibody Response in Equine Serum Samples.
Viruses    January 14, 2026   Volume 18, Issue 1 108 doi: 10.3390/v18010108
Beniwal N, Lal B, Mithina S, Verma CK, Kumar S, Phagna V, Jakhar K, Sonar S, Gupta V, Singh R, Kumar N, Tan CW, Thachamvally R, Singha H, Murzello K....Rabies is a neglected tropical zoonotic disease caused by rabies-virus (RV) infection and is responsible for almost 60,000 annual deaths globally, largely affecting the socio-economically disadvantaged population. Although fatality is preventable by immunization either before or after exposure with therapeutic antibodies, the high cost of prophylaxis or treatment limits their accessibility for the affected population. However, due to the almost 100% fatality rate in symptomatic individuals, almost 29 million annual vaccinations are performed, imposing high financial burden. Human transmission ...
Review: Genomic insights into the adaptive traits and stress resistance in modern horses.
Stress biology    January 12, 2026   Volume 6, Issue 1 5 doi: 10.1007/s44154-025-00274-1
Jafari H, Abebe BK, Cong L, Ahmed Z, Zhaofei W, Sun M, Muhatai G, Chuzhao L, Dang R.The domestication and selective breeding of horses have profoundly influenced the emergence of adaptive traits and stress resistance mechanisms, shaping modern equine populations. This comprehensive review examines the genomic foundations of these traits, emphasizing recent advancements in high-throughput sequencing technologies and bioinformatics. These tools have elucidated the genetic underpinnings of key characteristics such as endurance, speed, metabolic efficiency, and disease resistance. Importantly, the review identifies and connects gene variants associated with thermoregulation, immu...
Isolation of Madariaga Virus (MADV) in a Horse Coinfected with Equine Infectious Anemia in Venezuela: A Review of MADV Circulation in the Country.
Veterinary sciences    January 10, 2026   Volume 13, Issue 1 71 doi: 10.3390/vetsci13010071
Garzaro D, Rodríguez N, Medina G, Alcazar W, Gualdron M, Siem JA, Sulbaran Y, Barrios M, Liprandi F, Jaspe RC, Pujol FH.Madariaga virus (MADV), formerly known as the South American variant of Eastern Equine Encephalitis virus (EEEV), is an alphavirus that belongs to the family and has been periodically infecting equids in Venezuela since its first identification in 1975. This study reports the isolation and molecular characterization of MADV isolated from a horse in December 2024 in the context of MADV cases reported in Venezuela. Methods: Antibodies to the rabies virus were detected by indirect immunofluorescence, and to the Equine Infectious Anemia virus (EIAV) by passive immunodiffusion. MADV RNA was detect...
Outbreak of equine botulism type C associated with consumption of baleage in Brazil. Souza LL, Lima AS, Martins AS, Silva TA, Borsanelli AC, Dutra IS, Pupin RC, Gomes DC, Lemos RA.An outbreak of botulism occurred in March 2024 among horses at a Quarter Horse stud farm in Central-West Brazil. After ingesting baleage, 22 of 26 (85%) horses housed in stables and fed baleage became ill. The affected horses had dysphagia, muscular weakness, fasciculations, and progressive recumbency; 13 of 22 (59%) died within a few days. The diagnosis of type C botulism was established based on clinical and epidemiologic findings and confirmed by mouse bioassays, which indicated botulinum toxin type C in liver samples and intestinal contents. Furthermore, PCR testing identified toxigenic i...
Bacterial contamination of covered versus non-covered plates in a sterile operating room in an equine referral center.
Journal of equine veterinary science    January 7, 2026   Volume 157 105775 doi: 10.1016/j.jevs.2026.105775
Dersch K, Kreuder A, Wang C, Troy J.Surgical site infections (SSI) are a common postoperative complication of equine orthopedic surgery and often increase morbidity and mortality. This study aimed to determine if covering surgical instruments during surgery decreased bacterial environmental air contamination during early opening of surgical packs (EOSP). The authors hypothesized that covering instruments with sterile surgical towels would reduce the total number of bacterial colonies to which the instruments were exposed. Blood agar plates (BAP) were allocated into two groups (non-covered vs. covered with a sterile huck towel)...
Evaluating the Biochemical and Haematological Safety of the Histoplasma capsulatum var. farciminosum ‘8ZH’ Vaccine in Foals.
Veterinary medicine and science    January 7, 2026   Volume 12, Issue 1 e70764 doi: 10.1002/vms3.70764
Epizootic lymphangitis (EEL), caused by Histoplasma capsulatum var. farciminosum (HCF), is a neglected equine fungal disease lacking effective vaccines. The newly developed inactivated '8ZH' vaccine requires safety validation in the target species. Objective: To evaluate the biochemical, haematological and clinical safety of the inactivated HCF '8ZH' vaccine in foals. Methods: A controlled, single-blinded study was conducted on 30 clinically healthy foals (4-6 months), randomized into vaccinated (n = 15) and control (n = 15) groups. Vaccinated animals received a 5 mL intramuscular dose (...
Scoping Review of the Socioeconomic Value of Working Equids, and the Impact of Educational Interventions Aimed at Improving Their Welfare.
Animals : an open access journal from MDPI    January 7, 2026   Volume 16, Issue 2 165 doi: 10.3390/ani16020165
Cameron A, Freeman SL, Wild I, Burridge J, Burrell K.Working equids support millions of people globally, especially in low-income, lower-middle-income, and upper-middle-income countries. However, they commonly suffer from poor welfare and are typically overlooked in policy and funding decisions. This scoping review aimed to collate evidence on two topics related to working equid use in low- and middle-income countries: their socioeconomic value to their owners and the impact of educational interventions for owners/handlers aiming to improve equid welfare. Original research published from 2014 onwards was eligible for inclusion. This scoping revi...
Equine piroplasmosis: an emerging tick-borne threat to equine health.
Tropical animal health and production    January 5, 2026   Volume 58, Issue 1 29 doi: 10.1007/s11250-025-04829-2
Gupta KK, Gupta N, Kumar S, Srivastava M, Kumar P.Equine piroplasmosisis a tick-borne haemoprotozoan disease of equine population (horses, mules, donkeys and zebras) caused either by T. equi or B. caballi. Clinically it is characterized by pyrexia, hemolytic anemia and jaundice. Intravascular hemolysis and development of oxidative stress are key pathological alterations. Disease is endemic in almost all part of world (tropical, subtropical, temperate regions) except some courtiers which are EP free like US, UK, Northern Europe, Iceland and New Zealand. These countries follow strict quarantine measures and T. equi infection leads to developmen...
Evaluation of a nutraceutical for prevention of equine ulcer recurrence.
Equine veterinary journal    December 30, 2025   doi: 10.1002/evj.70143
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...