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Topic:Endoscopy
Endoscopy in horses refers to a diagnostic procedure that involves the use of an endoscope, a flexible tube equipped with a camera and light, to visually examine the interior surfaces of equine organs and tissues. This technique is commonly employed to investigate conditions affecting the respiratory tract, gastrointestinal tract, and other internal structures. Endoscopy allows for direct visualization and assessment of abnormalities such as lesions, obstructions, or inflammation. It can also be used to obtain biopsies or remove foreign bodies. This page compiles peer-reviewed research studies and scholarly articles that explore the applications, methodologies, and clinical relevance of endoscopy in equine medicine.
Historical, clinical and nasal endoscopic findings in 1600 cases of equine sinonasal disease and associations with case outcome. No large study has described the signalment, pre-referral management or clinical and nasal endoscopic findings in equine sinonasal disease. Objective: To explore associations between case outcome and signalment, pre-referral treatments, clinical and nasal endoscopic variables in sinonasal disease. Methods: Retrospective case series. Methods: Data were collected from medical records of 19 equine hospitals on sinonasal disease cases they had examined and which had undergone computed tomographic (CT) imaging. Case outcome was obtained from clinical records and/or by contacting clients and referri...
Associations between treatments and response to treatments from a large multicentre study of equine sinonasal disease. No large study has examined the treatment and response to treatment of horses with sinonasal disease confirmed by computed tomography (CT). Objective: To report the treatment and response to treatment of referred cases of equine sinonasal disease. To explore associations between case outcome and clinical and endoscopic features, CT findings, disease subtypes, and treatments in a multivariable model. Methods: Retrospective case series. Methods: Data were collected from medical records from 19 equine hospitals on cases of sinonasal disease, all of which underwent CT imaging. Case outcome was obt...
Pulmonary cryptococcosis with an endobronchial cryptococcoma in a Warmblood mare. This report describes pulmonary cryptococcosis with a large endobronchial cryptococcoma in an 8-year-old Warmblood mare. The mare was presented initially with fever and lethargy, and clinical signs typical of bacterial pneumonia. Markedly elevated serum amyloid A (SAA) concentrations indicated a severe systemic inflammatory response. Over a period of 6 wk, the condition progressively worsened and was refractory to multiple courses of broad-spectrum antimicrobial therapy as administered in a field setting. Diagnostic imaging following referral revealed extensive consolidation of the left lung a...
Association between cytology and endoscopy of guttural pouches: a prospective study on 173 horses. Guttural pouch (GP) disorders are clinically important in horses, yet the relationship between endoscopic findings and GP cytology remains poorly defined. Objective: To establish reference cytological values for GP lavage fluid in horses and to investigate associations between inflammatory cytology and endoscopic findings. Methods: Asymptomatic racing horses sampled in the field and horses referred for investigation of respiratory disorders. Methods: Prospective cross-sectional study. Horses underwent clinical examination, upper airway endoscopy, and bilateral transendoscopic GP lavage. A GP i...
[Puncture wounds of the equine hoof – a retrospective study of 96 cases – Part 2: Management and prognosis]. Puncture wounds are a common and potentially life-threatening injury in equine veterinary practice. The aim of this study was to systematically analyze data from horses presenting to the clinic with a puncture wound. Unassigned: A retrospective study was conducted on patient data from horses with a puncture wound in the period from September 2008 to August 2024. Analyzed data included medical management and surgical treatment, complications, duration and costs of hospitalization, short-term survival rate and treatment success. Unassigned: A total of 96 horses met the inclusion criteria. Seven ...
Guttural pouch tympany or empyema in 38 ٍStraight Egyptian Arabian foals: clinical presentation, diagnostic features and outcome. As a breed, Straight Egyptian Arabian horses are susceptible to many disorders that mostly affect the head, such as guttural pouch (GP) tympany and empyema. This retrospective study evaluated the findings of clinical examination, ultrasonography, endoscopy, laboratory analyses and outcome of treatment of 38 Straight Egyptian Arabian foals with GP tympany and empyema. Methods: Data from medical records of foals diagnosed with GP tympany or empyema over a 2-year period (2024-2025) were reviewed. Foals with verified GP tympany or empyema who had complete medical records and had not previously rec...
Intratracheal Leiomyosarcoma in a 13-Year-Old German Riding Pony Mare. A 13-year-old German Riding Pony mare was referred for evaluation of progressive respiratory noise and mixed dyspnoea, which rapidly deteriorated to respiratory distress. Clinical examination revealed marked rattling inspiratory and expiratory tracheal sounds and severe, rattling, vesicular lung sounds. Arterial blood gas analysis demonstrated moderate hypoxaemia (partial pressure of arterial oxygen 76 mmHg at rest). Upper airway endoscopy identified a pink, cauliflower-like pedunculated mass originating from the dorsal tracheal wall approximately 15 cm cranial to the tracheal bifurcation, cau...
Retrospective endoscopic assessment of complications associated with nasogastric intubation in horses at a referral hospital. To characterize the incidence of complications confirmed via endoscopy following nasogastric intubation in horses at a referral institution and determine associated risk factors. Unassigned: Medical records of patients having received ≥ 1 nasogastric intubation within 3 days prior to endoscopic examination between March 2021 and March 2025 were identified. Signalment, history, clinicopathologic data, nasogastric intubation procedures, reason for endoscopy, treatment, and outcome were recorded. Complications were categorized by region (nasopharyngeal, esophageal, gastric). Clinical complicati...
Pneumocoele sinus: Computed tomographic findings and surgical approach in a 2-year-old Cob filly. Pneumosinus dilatans and pneumocoele sinus describe abnormal hyperpneumatisation of paranasal sinuses, with the latter being accompanied by thinning of bony walls. Although recognised in human and equine medicine, to the authors' knowledge, this condition's computed tomography (CT) findings and successful surgical approach in horses have not previously been reported in conjunction. Advanced imaging, particularly CT, is pivotal for identifying abnormal sinus expansion and associated nasal obstruction. Methods: Case report. Conclusions: A 2-year-5-month-old Cob filly presented with a 1-month his...
Feasibility and safety of repeated 23% hypertonic saline boluses for electrical impedance tomography contrast enhancement in anaesthetised horses. Hypertonic saline (HS) has been used to enhance electrical impedance tomography (EIT) cardiac-related signals associated with pulmonary perfusion in other species, but its suitability and physiological effects in horses are unknown. This exploratory study aimed to determine whether intravenous administration of 100 mL of 23% HS produces a detectable change in thoracic impedance in anaesthetised horses, and to evaluate the physiological effects of repeated bolus administration. Six adult horses were anaesthetised twice using total intravenous anaesthesia. Hypertonic saline 23% was administered ...
Use of computer-assisted tomography for diagnosis and standing surgical reduction of progressive ethmoidal hematoma in a mare. Progressive ethmoidal hematoma (PEH) is a rare, nonneoplastic mass occurring in the sinonasal passages of horses. An 11-year-old, pregnant Thoroughbred mare was presented with a history of intermittent nasal discharge and stertorous respiration. On examination, radiography revealed increased opacity in the sinus and nasal cavities and endoscopy identified a mass emerging from the left ethmoidal turbinate. Computed tomography (CT) showed the range and origin of the mass, indicative of PEH. A standing frontonasal flap was made under sedation, following temporary tracheostomy to secure the airway...
The effect of romifidine on endoscopic grading of laryngeal function in horses. To our knowledge, the effect of sedation with romifidine on the grading of laryngeal function in horses has not been studied. Our objective was to examine the effects of romifidine on the grading of laryngeal function and the cross-sectional area of the rima glottis (CSARG). Methods: Ten horses underwent three endoscopic examinations of the larynx: once while unsedated (group R1), once after being sedated with romifidine (0.04 mg/kg intravenously; group R2) and once again, while still sedated, after receiving a repeat dose of romifidine (0.08 mg/kg intravenously, total dose; group R3). The r...
Effects of vatinoxan in horses sedated with detomidine and butorphanol for gastroscopy: a randomized clinical study. The peripheral alpha2-adrenoceptor antagonist vatinoxan attenuated the side effects of alpha2-adrenergic sedatives in experimental studies in horses. This clinical study investigated the effects of vatinoxan in horses sedated for gastroscopy with detomidine and butorphanol. Client-owned horses were randomly allocated to receive one of the following two intravenous treatments: detomidine hydrochloride (HCl) (12μg/kg) + butorphanol tartrate (12μg/kg) (DB; n=11) or DB + vatinoxan HCl (200μg/kg) (DBV; n=11). Borborygmi score and heart rate were recorded by auscultation. Sedation level was evalu...
Delphi consensus on Thoroughbred yearling sales endoscopy in Australasia. Concerns regarding the reliability and consistency of yearling sales endoscopy in Australia and New Zealand have led to reduced industry confidence. Recent studies have clarified the relationship between yearling laryngeal function (YLF) grades and future outcomes. Objective: To build expert consensus on the most appropriate method for grading YLF, assess the clinical relevance of each grade on future race performance and prosthetic laryngoplasty risk, and develop guidelines for pre-sale endoscopic technique. Methods: Modified Delphi study. Methods: Anonymous, iterative surveys were distribute...
Endometrial Evaluation Using Video-Assisted Hysteroscopy After Uterine Prolapse Management in a Mare. This case report describes the successful application of video-assisted hysteroscopy to evaluate endometrial recovery in a 6-year-old mare following treatment for complete uterine prolapse secondary to dystocia. Upon presentation, the uterus was manually reduced and supported with a Buhner's suture. A multimodal medical protocol, including broad-spectrum antibiotics, anti-inflammatory drugs and uterine lavage, was initiated. Five days after reduction, an endoscopic evaluation was performed using a dedicated videovaginoscope without uterine insufflation. The procedure provided high-resolution i...
Tracheal wash culture is not associated with bronchial infection, remodelling or inflammation in horses with asthma. Antimicrobials are commonly prescribed for the treatment of equine asthma, despite limited evidence supporting their use. Tracheal wash (TW) bacterial culture results are known to influence antimicrobial prescription decisions. Objective: To determine whether a positive TW bacterial culture in horses with asthma is associated with bronchial infection or colonisation, increased bronchial remodelling and airway inflammation by evaluating the presence of bacteria and airway remodelling in endobronchial biopsies, as well as bronchoalveolar lavage fluid (BALF) cytology and tracheal mucus scores. Me...
Prolonged wireless measurement of intragastric pH in foals. The pathogenesis of gastric ulceration is not well understood in foals, and its relationship with gastric acidity requires further investigation. A wireless capsule, designed for intraesophageal pH monitoring in humans, was adapted to measure intragastric pH in adult horses. Objective: To (1) determine the feasibility of wireless intragastric pH measurement in foals; (2) determine capsule attachment duration; and (3) describe the intragastric pH profiles recorded. Methods: Eight healthy foals aged 24-98 days. Methods: Prospective interventional study. Capsules were attached to the glandular g...
The high fundamental frequency in horse whinnies is generated by an aerodynamic whistle. Understanding why the frequencies of some species' vocalizations are far above or below those predicted by body size is key for explaining the remarkable diversity of mammalian vocal behavior. Horses, among the largest terrestrial mammals, provide a clear example of such deviation: their whinnies contain a very high fundamental frequency (>1,000 Hz) in addition to a second, lower one (∼200 Hz). While the lower fundamental frequency of whinnies is readily attributed to vocal fold (laryngeal) vibrations, the biomechanical processes underlying the production of the higher one remain unknown....
Updates on Diagnosis and Treatment of Guttural Pouch Conditions. 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.
[Equine laryngeal dysplasia – overview of variable clinical presentation based on 6 cases]. Equine laryngeal dysplasia (ELD) is the umbrella term for various malformations of laryngeal structures that arise from the 4th and 6th branchial arches during embryogenesis. The disease is rare and may be subclinical. In symptomatic patients with clinical signs, the clinical presentation is highly variable and is the result of functional limitations of the larynx as well as of the esophageal sphincter. The spectrum of signs may range from respiratory changes such as abnormal respiratory noise, coughing, and at times dyspnea all the way to poor performance, dysphagia, aerophagia, and colic. Th...
Disorders of the Equine Head and Neck: Larynx and Pharynx. This comprehensive review outlines the anatomy, diagnostic methods, pathophysiology, treatment, and prognosis of common equine upper airway disorders. It discusses the structure and function of the larynx and pharynx, and details diagnostic tools such as endoscopy and ultrasound. Major conditions-recurrent laryngeal neuropathy, arytenoid chondropathy, epiglottic entrapment, dorsal displacement of the soft palate, and nasopharyngeal collapse-are described with emphasis on their etiology, clinical signs, and management options for optimizing performance outcomes.
Barrel racing horses demonstrate a high incidence of nonclinical postrace airway disorders. To describe the prevalence of postrace airway abnormalities in a population of barrel racing horses competing in Oklahoma. Unassigned: A descriptive field study was conducted at a single event. Horses underwent resting endoscopy within 60 minutes of competition. Recordings were evaluated and numerical and/or binary scores assigned for pharyngeal lymphoid hyperplasia, recurrent laryngeal neuropathy, dorsal displacement of the soft palate, epiglottic entrapment, and exercise-induced pulmonary hemorrhage. Clients completed a questionnaire detailing the horse's medical history and run time. A line...
Endoscopically assisted transcutaneous placement of a balloon catheter in the medial guttural pouch compartment of the horse: A surgical approach to local treatment. To describe and report clinical outcomes after transcutaneous guttural pouch (GP) catheterization (TGPC) in standing horses. Methods: Ex vivo study and case series. Methods: One cadaver head, records of 10 normal horses and 14 horses treated with TGPC. Methods: Relevant anatomical landmarks were determined through dissection of one cadaveric specimen and 10 normal radiographic studies. Records of horses diagnosed with empyema or mycosis and treated with standing TGPC were reviewed for complications that occurred during or after the operation. Results: Ex vivo and radiological studies identifie...
Policresulen is effective for the topical treatment of vaginal varices in a pregnant mare: Case report. Vaginal varicosities in mares are rarely reported, although considered relatively common. Clinical recognition can be challenging, especially during early pregnancy, due to the intermittent nature of the bleeding. This report aims to describe the diagnostic approach, clinical evolution, and treatment of a case of vaginal varicosity in a pregnant mare, emphasizing a practical and minimally invasive method. A 9-year-old Brazilian Sport Horse mare with intermittent vaginal hemorrhage underwent clinical evaluation, showing no abnormalities. Vaginoscopy with a rigid endoscope revealed varicose vein...
Preliminary clinical study of the arytenoid cartilage abduction grades after prosthetic laryngoplasty with cricoarytenoideus dorsalis myectomy in racehorses. To assess the clinical impact of the cricoarytenoideus dorsalis (CAD) myectomy in the short- and long-term postoperative abduction grade in racehorses. Unassigned: Records from horses presented for surgical treatment of recurrent laryngeal neuropathy from January 2019 through December 2023 were divided into 2 groups: horses that received standard prosthetic laryngoplasty and horses that received a complete myectomy of the CAD (modified myectomy laryngoplasty). Outcomes were compared through endoscopic evaluation after anesthetic recovery, both short term (7 to 10 days) and long term (80 to 90 ...
Computer-Aided Diagnosis of Equine Pharyngeal Lymphoid Hyperplasia Using the Object Detection-Based Processing Technique of Digital Endoscopic Images. In human medicine, computer-aided diagnosis (CAD) is increasingly employed for screening, identifying, and monitoring early endoscopic signs of various diseases. However, its potential-despite proven benefits in human healthcare-remains largely underexplored in equine veterinary medicine. This study aimed to quantify endoscopic signs of pharyngeal lymphoid hyperplasia (PLH) as digital data and to assess their effectiveness in CAD of PLH in comparison and in combination with clinical data reflecting respiratory tract disease. Endoscopic images of the pharynx were collected from 70 horses clinic...
Efficacy and welfare effects of different forms of physical restraint for upper airway endoscopy of horses. Physical restraint of horses for veterinary procedures is necessary to allow completion of tasks effectively and without injury to patient or personnel. Objective: To compare physiological effects and behavioural responses to four commonly used restraint techniques for upper respiratory tract (URT) endoscopy in unsedated horses. Methods: Blocked and randomised interventional study. Methods: Twelve university owned teaching horses were blocked into groups of four and randomly allocated to one of four restraint methods (nose twitch, ear hold, Stableizer® and nil restraint) for URT endoscopy. Ho...
Advanced equine duodenoscopy technique. Duodenal pathologies are underreported in equine medicine, probably not due to little occurrence, but due to the limitations of current diagnostic techniques. The aim of this report is to describe a novel duodenoscopic approach, that allows a complete visualization of a region inaccessible via standard techniques. Gastroduodenoscopy was performed in a clinical setting in 60 adult horses referred to us due to complaints suspected to be related to gastroduodenal diseases. The initial steps of the procedure were performed using previously published techniques. Once the video-endoscope reached the...
Laryngoscopic evaluation of arytenoid movements in pure Arabian horses. The equine larynx can be affected by a variety of diseases that may interfere with upper respiratory tract patency. Laryngeal hemiplegia is a well-known disease in large-sized equine breeds and its occurrence in Arabian horses has not been thoroughly investigated. Unassigned: To endoscopically assess arytenoid movements in pure Arabian horses. Unassigned: A total number of 38 pure Arabian horses were examined. When the horse was unsedated, the laryngeal arytenoid movement was assessed using a laryngoscope, and a grading score was assigned accordingly. Unassigned: Evidence of laryngeal movement...
Tracheal collapse rates in Kenyan working cart and pack donkeys. Donkeys (Equus asinus) in East Africa are recognised as working with poorly designed harnesses and carts. The donkey cart used in regions of Africa, specifically Meru County, Kenya, appears to place the cart's weight solely on the donkey's mid-cervical region. The ventral area of the neck is vulnerable to external pressure on the trachea, which is superficially located. Objective: To compare the presence and severity of endoscopic abnormalities in the upper airway and trachea of Meru County working cart donkeys compared to pack donkeys. To determine associations between endoscopic and physical...
