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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.
Transendoscopic Electrosurgery for Partial Removal of a Gastric Adenomatous Polyp in a Horse.
Journal of veterinary internal medicine    May 30, 2016   Volume 30, Issue 4 1351-1355 doi: 10.1111/jvim.13979
Marley LK, Repenning P, Frank CB, Hackett ES, Nout-Lomas YS.No abstract available
Identification of vessel degeneration and endometrosis in the equine endometrium, using narrow-band imaging hysteroscopy.
Theriogenology    May 7, 2016   Volume 86, Issue 6 1445-1452 doi: 10.1016/j.theriogenology.2016.05.002
Otzen H, Sieme H, Oldenhof H, Ertmer F, Kehr A, Rode K, Klose K, Rohn K, Schoon HA, Meinecke B.In this study, endometrosis and angiosclerosis in mares were studied. Endometrosis is a severe, progressive, and irreversible fibrotic condition that affects the endometrium, whereas angiosclerosis refers to thickening of vessel walls due to degenerative changes leading to reduced elasticity of the walls and lower perfusion. Histologic evaluations were performed on biopsies and compared with vascular features of the endometrial surface obtained via narrow-band imaging (NBI) hysteroscopy. First, it was determined if hysteroscopic evaluation of the endometrium using NBI resulted in a better visu...
Influence of bronchoalveolar lavage volume on cytological profiles and subsequent diagnosis of inflammatory airway disease in horses.
Veterinary journal (London, England : 1997)    May 7, 2016   Volume 207 193-195 doi: 10.1016/j.tvjl.2015.09.027
Orard M, Depecker M, Hue E, Pitel PH, Couroucé-Malblanc A, Richard EA.The aim of the study was to determine whether instillation of either 250 mL or 500 mL of saline for bronchoalveolar lavage (BAL) would influence cytological confirmation of inflammatory airway disease (IAD). Thirty client-owned Standardbred racehorses were sampled via endoscopy with 250 mL of saline in one lung and 500 mL in the contralateral lung. The procedure was repeated 72 h later, reversing the volume per lung. The proportions of BAL fluid (BALF) recovered were significantly higher and neutrophil percentages significantly lower with the larger volume. A poor agreement was found between m...
Anatomical Description of the Presence and Variability of the Digital Manica Flexoria in the Equine Digital Flexor Tendon Sheath.
Anatomia, histologia, embryologia    May 6, 2016   Volume 46, Issue 1 9-16 doi: 10.1111/ahe.12224
Jordana M, Cornillie P, Oosterlinck M, Simoens P, Pille F, Martens A.During endoscopy (tenoscopy) of the distal aspect of the equine digital flexor tendon sheath (DFTS), the digital manica flexoria can be visualized connecting the distal branches of the superficial digital flexor tendon. However, this structure has been inconsistently described and variably named in the veterinary literature. The objectives of this study were to describe the presence, configuration and variability of the digital manica flexoria in the equine distal limb. Dissection of 144 equine cadaveric limbs revealed the presence of this structure in all the feet, although different types an...
Frequency of Penetration of the Digital Flexor Tendon Sheath and Distal Interphalangeal Joint Using a Direct Endoscopic Approach to the Navicular Bursa in Horses.
Veterinary surgery : VS    March 11, 2016   Volume 45, Issue 3 380-385 doi: 10.1111/vsu.12454
Kane-Smyth J, Taylor SE, García EC, Reardon RJ.To evaluate the frequency of inadvertent penetration of the digital flexor tendon sheath (DFTS) and/or distal interphalangeal joint (DIPJ) when using a direct endoscopic approach to the navicular bursa, and to evaluate an alternate direct approach to the navicular bursa. Methods: Cadaveric study. Methods: Equine cadaver limbs (n = 40 for direct; n = 12 for alternate approach). Methods: Four surgeons performed the direct endoscopic approach to the navicular bursa on 10 limbs each. Frequencies of inadvertent synovial penetration and iatrogenic damage were compared between surgeons. Use of an alt...
Association of tracheal mucus or blood and airway neutrophilia with racing performance in Thoroughbred horses in an Australian racing yard.
Australian veterinary journal    March 7, 2016   Volume 94, Issue 4 96-100 doi: 10.1111/avj.12422
Salz RO, Ahern BJ, Boston R, Begg LM.To determine the variation of tracheal mucus scores, tracheal blood scores and transendoscopic tracheal wash (TW) cytology in a population of Thoroughbred (TB) racehorses and assess their association with racing performance. Methods: A total of 220 endoscopic examinations were performed and TWs obtained from 155 TB racehorses. Samples were collected 60-120 min following gallop work. Tracheal mucus score, tracheal blood score and TW cytology were analysed and their association with racing performance assessed. Results: Of the total examinations and samples, 194 from 135 horses fitted the criter...
Endoscopic Evaluation of Angiogenesis in the Large Airways of Horses with Heaves Using Narrow Band Imaging.
Journal of veterinary internal medicine    March 1, 2016   Volume 30, Issue 2 671-674 doi: 10.1111/jvim.13890
Herteman N, Bullone M, Lavoie JP.Heaves is a severe debilitating condition of horses, characterized by lower airway inflammation and permanent structural changes of the bronchial wall. Chronic inflammation promotes the formation of new vessels, a phenomenon known as angiogenesis. Narrow band imaging (NBI) endoscopy is a noninvasive technique that enhances the visualization of submucosal vessels, and commonly is employed for the study of angiogenesis in human patients. Objective: Using NBI, we aimed to determine whether or not the central airways of horses with heaves undergo angiogenesis. Methods: Horses with heaves during ex...
Erratum: Training of upper respiratory endoscopy in the horse using preserved head and neck.
ALTEX    January 19, 2016   Volume 33, Issue 1 79 doi: 10.14573/altex.1512121
Elnady FA, Sheta E, Khalifa AK, Rizk H.No abstract available
Equine endometrial vascular pattern changes during the estrous cycle examined by Narrow Band Imaging hysteroscopy.
Animal reproduction science    January 6, 2016   Volume 166 80-89 doi: 10.1016/j.anireprosci.2016.01.006
Otzen H, Sieme H, Oldenhof H, Kassens A, Ertmer F, Rode K, Müller K, Klose K, Rohn K, Schoon HA, Meinecke B.The aim of this study was to evaluate the uterine blood supply and endometrial vessel architecture, during the equine estrous cycle. Narrow Band Imaging (NBI) hysteroscopy was used for evaluating changes in the endometrial vasculature during the estrous cycle [six mares, d 0 (representing the day of ovulation), d 6 and 11 in four locations]. In addition, endometrial biopsy samples were used for immunodetection of markers for angiogenesis (Vascular Endothelial Growth Factor A, its receptor 2, as well as angiopoietin-2 and its receptor-tyrosine-kinase Tie2) during the estrous cycle (three mares,...
Response to letter to the Editor. Epiduroscopy of the lumbosacral vertebral canal in the horse: Technique and endoscopic anatomy.
Equine veterinary journal    December 15, 2015   Volume 48, Issue 1 131 doi: 10.1111/evj.12494
Prange T, Shrauner BD, Blikslager AT.No abstract available
Letter to the Editor. Epiduroscopy of the lumbosacral vertebral canal in the horse: Technique and endoscopic anatomy.
Equine veterinary journal    December 15, 2015   Volume 48, Issue 1 130 doi: 10.1111/evj.12489
Josephson E.No abstract available
Ligation of the ipsilateral common carotid artery and topical treatment for the prevention of epistaxis from guttural pouch mycosis in horses.
The Veterinary record    December 9, 2015   Volume 178, Issue 2 44 doi: 10.1136/vr.103376
Cousty M, Tricaud C, De Beauregard T, Picandet V, Bizon-Mercier C, Tessier C.The objective of the study was to evaluate the effect of ligation of the ipsilateral common carotid artery (CCA) combined with various antimycotic treatments for the prevention of epistaxis in horses with guttural pouch mycosis. For each case, ipsilateral ligation of the CCA was performed, followed by application of various topical medications under endoscopic guidance. Frequency and number of treatments, outcome and recurrence of haemorrhage were retrospectively recorded. Twenty-four horses were included. Topical medication was administered by detachment of the diphtheric membrane and sprayin...
Cytological evaluation of tracheal aspirate and broncho-alveolar lavage fluid in comparison to endoscopic assessment of lower airways in horses with recurrent airways obstruction or inflammatory airway disease.
Polish journal of veterinary sciences    December 1, 2015   Volume 18, Issue 3 587-597 doi: 10.1515/pjvs-2015-0076
Wysocka B, Kluciński W.The aim of the present study was to compare the grade of discharge accumulation in the tracheal lumen, area of tracheal bifurcation, main bronchi and the tracheal septum thickness with the cytology of the tracheal aspirate (TA) and broncho-alveolar lavage fluid (BALF) in horses with recurrent airways obstruction and inflammatory airway disease from those horses. This study was conducted on 96 horses with RAO, 139 horses with IAD and 10 control horses. In all the horses, both clinical and endoscopic examinations were performed. During endoscopy, a score of mucus accumulation was estimated in 3/...
Impact of diet on 24-hour intragastric pH profile in healthy horses.
Berliner und Munchener tierarztliche Wochenschrift    November 26, 2015   Volume 128, Issue 9-10 345-349 
Damkel C, Snyder A, Uhlig A, Coenen M, Schusser GF.An electrode incorporated into a polyethylene hose was introduced under endoscopic control into the stomach of six fasting adult horses for long-lasting pH measurements. The intragastric pH was recorded every four seconds for a period of 24 hours. The Warmblood horses were assigned randomly to receive hay ad libitum (H group); 1.5 kg hay/100 kg BW/day and 1 kg concentrate/100 kg BW/ day (C group) or protocol C plus 75 g pectin-lecithin supplement/100 kg BW/day (P group). The horses were adapted to each diet for 14 days. The 24-hour median pH value for protocol H (2.69) was significantly lower ...
Predictor variables for and complications associated with Streptococcus equi subsp equi infection in horses.
Journal of the American Veterinary Medical Association    November 1, 2015   Volume 247, Issue 10 1161-1168 doi: 10.2460/javma.247.10.1161
D○ LR, Stefanovski D, Boston RC, Boyle AG.To evaluate predictor variables for and complications associated with Streptococcus equi subsp equi infection (strangles) in horses. Methods: Retrospective case-control study. Methods: 108 horses with strangles (cases) and 215 horses without strangles (controls). Methods: Medical records from January 2005 through July 2012 were reviewed. Cases were defined as horses with clinical signs of strangles (pyrexia, retropharyngeal lymphadenopathy, and mucopurulent nasal discharge) that were associated with a confirmed strangles outbreak or had positive results for S equi on PCR assay or bacteriologic...
Epiduroscopy of the lumbosacral vertebral canal in the horse: Technique and endoscopic anatomy.
Equine veterinary journal    August 21, 2015   Volume 48, Issue 1 125-129 doi: 10.1111/evj.12470
Prange T, Shrauner BD, Blikslager AT.Back pain is a common cause of gait alterations and poor performance in horses, but the available imaging modalities are frequently insufficient to isolate the underlying pathology. In human patients, epidural endoscopy (epiduroscopy) is successfully used to diagnose and treat challenging cases of lower back pain. Endoscopy of the cervical epidural space has previously been reported in anaesthetised horses. Objective: To develop a technique for lumbosacral epiduroscopy in standing horses and to describe the endoscopic anatomy of the lumbosacral epidural space. Methods: Pilot study to assess th...
Post operative synovial sepsis following endoscopic surgery: Increased risk associated with the carpal sheath.
Equine veterinary journal    August 14, 2015   Volume 48, Issue 4 430-433 doi: 10.1111/evj.12472
Hawthorn A, Reardon R, O'Meara B, James F, Bladon B.The overall rate of sepsis following endoscopic surgery of synovial structures has not previously been documented. Clinical observation has led to the conjecture that tendon sheaths, in particular the carpal flexor tendon sheath, are more prone to post operative synovial sepsis than other synovial structures. Objective: To document and investigate the rate of post operative synovial sepsis following elective endoscopic surgery. Methods: Retrospective case series. Methods: The medical records of horses that underwent arthroscopy, tenoscopy or bursoscopy at Donnington Grove Veterinary Surgery be...
Diagnostic endoscopy of the navicular bursa using a needle endoscope by direct or transthecal approach: A comparative cadaver study.
Veterinary surgery : VS    August 11, 2015   Volume 44, Issue 7 816-824 doi: 10.1111/vsu.12369
Mählmann K, Koch C, Bodó G.To compare the practicability, visualization of structures, and iatrogenic damage of direct and transthecal approaches to the navicular bursa for diagnostic needle endoscopy. Methods: Descriptive study. Methods: Equine cadaver forelimbs (n = 30). Methods: Direct and transthecal approaches for insertion of a needle endoscope into the navicular bursa were performed. Video recordings of endoscopic procedures were assessed to determine all structures visualized within the navicular bursa. Number of attempts to gain access to the navicular bursa and total time for insertion and examination were...
Training of upper respiratory endoscopy in the horse using preserved head and neck.
ALTEX    July 27, 2015   Volume 32, Issue 4 384-387 doi: 10.14573/altex.1505111
Elnady FA, Sheta E, Khalifa AK, Rizk H.Endoscopy of the upper respiratory tract (URT) is one of the minimally invasive techniques used for diagnosis and treatment of diseases in horses. Training in the use of an endoscope follows an apprenticeship approach, with extensive practice needed to help achieve effective skills acquisition. The use of live animals for training presents the risk of injury to both the animal and the trainee. The increased number of students and practitioners, a shortage of facilities, and limited time available from expert clinicians add more challenges to the training process. In this work, we focused on th...
Clinical characteristics of horses and foals diagnosed with cleft palate in a referral population: 28 cases (1988-2011).
The Canadian veterinary journal = La revue veterinaire canadienne    July 2, 2015   Volume 56, Issue 7 756-760 
Shaw SD, Norman TE, Arnold CE, Coleman MC.The objective of this case series was to characterize the population, case presentations, and outcomes of 28 equids diagnosed with cleft palate over a 25-year period. The incidence of cleft palate was 0.04%. The median age at presentation was 2 mo (range: 1 d to 3 y). Fifty percent of the animals were < 2 mo old, 21% were ≥ 2 mo but < 1 y old, and 29% were 1 y of age or older. Males and females were nearly equally represented. Short-term outcomes included euthanasia in 50%, surgical repair in 11%, supportive care in 4%, and no treatment in 32% of cases; 46% of the animals survived to d...
Endoscopic Balloon Dilation of Esophageal Strictures in 9 Horses.
Journal of veterinary internal medicine    June 25, 2015   Volume 29, Issue 4 1105-1111 doi: 10.1111/jvim.13572
Prutton JS, Marks SL, Aleman M.Medical treatment of esophageal strictures in horses is limited and the use of balloon dilatation is described in few cases. Long-term follow up after balloon dilatation and the use of intralesional corticosteroids has not been evaluated. Objective: To describe the use of endoscopic guided, esophageal balloon dilatation in horses for cervical and thoracic esophageal strictures and administration of intralesional corticosteroids at the time of dilatation. Methods: Nine horses from the hospital population with benign esophageal strictures. Methods: Retrospective study: Medical records were revie...
Laryngoplasty in standing horses.
Veterinary surgery : VS    April 14, 2015   Volume 44, Issue 3 341-347 doi: 10.1111/vsu.12307
Rossignol F, Vitte A, Boening J, Maher M, Lechartier A, Brandenberger O, Martin-Flores M, Lang H, Walker W, Ducharme NG.To describe the clinical experience with standing laryngoplasty in a series of horses mostly nonracing. Methods: Case series. Methods: Seventy-one client-owned horses. Methods: Medical records (April 2008-February 2014) of horses treated by standing laryngoplasty for abnormal respiratory noise and or poor performance were reviewed. Horses were included if they had a diagnosis of idiopathic right or left recurrent laryngeal neuropathy confirmed by videoendoscopy. All horses underwent a unilateral laryngoplasty with a unilateral or bilateral ventriculectomy or ventriculocordectomy. Follow-up end...
Update on disorders and treatment of the guttural pouch.
The Veterinary clinics of North America. Equine practice    March 15, 2015   Volume 31, Issue 1 63-89 doi: 10.1016/j.cveq.2014.11.010
Freeman DE.The most common disorders of the equine guttural pouches are empyema, tympany, mycosis, and temporohyoid osteoarthropathy. Diagnosis of these conditions is made primarily by imaging with endoscopy, radiographs, computed tomography, and/or MRI. Medical treatment with anti-inflammatories, antimicrobials, and/or antifungals may be successful in some cases, but many of these disorders necessitate surgical intervention. Direct surgical approaches to the guttural pouch are difficult because of their complex anatomy and relationship with important structures, thus precipitating a move toward minimall...
Descriptive analysis of longitudinal endoscopy for exercise-induced pulmonary haemorrhage in Thoroughbred racehorses training and racing at the Hong Kong Jockey Club – letter.
Equine veterinary journal    January 19, 2015   Volume 47, Issue 3 374-375 doi: 10.1111/evj.12388
Preston S, Riggs CM.No abstract available
Update on diseases and treatment of the pharynx.
The Veterinary clinics of North America. Equine practice    January 16, 2015   Volume 31, Issue 1 1-11 doi: 10.1016/j.cveq.2014.11.001
Chesen AB, Whitfield-Cargile C.This article reviews dorsal displacement of the soft palate (DDSP) and nasopharyngeal cicatrix. Palatial instability results in exercise intolerance and upper respiratory noise in performance horses. Palatial instability can progress to DDSP either permanently or only during exercise. There have been advancements related to the etiopathogensis, diagnosis, and treatment of DDSP. The laryngeal tie-forward has gained popularity and is the most widely accepted treatment option for this condition, either alone or in combination with other procedures. Nasopharyngeal cicatrix affects a small geograph...
Comparative endoscopic evaluation of normal and ulcerated gastric mucosae in Thoroughbred foals.
The Journal of veterinary medical science    January 15, 2015   Volume 77, Issue 4 449-453 doi: 10.1292/jvms.14-0334
Okai K, Taharaguchi S, Orita Y, Yokota H, Taniyama H.To contribute to early diagnosis and treatment of gastric ulcer of foals, we examined the gastric mucosa of healthy and affected foals using an endoscope. In healthy foals, the characteristic changes in the development of the squamous mucosa were seen mainly in the squamous mucosa, and maturation of the squamous mucosa in the greater curvature (GC-S) occurred more slowly than that of the squamous mucosa in the lesser curvature (LC-S). Epithelial desquamation in the LC-S and GC-S was observed between 6 and 90 days but was not observed in the LC-S at about 60 days, whereas it was observed in the...
Dynamic upper respiratory abnormalities in Thoroughbred racehorses in South Africa.
Journal of the South African Veterinary Association    November 14, 2014   Volume 85, Issue 1 1140 doi: 10.4102/jsava.v85i1.1140
Mirazo JE, Page P, Rubio-Martinez L, Marais HJ, Lyle C.Upper airway endoscopy at rest has been the diagnostic method of choice for equine upper respiratory tract (URT) conditions. Development of high-speed treadmill endoscopy improved the sensitivity of URT endoscopy by allowing observation of the horse's nasopharynx and larynx during exercise. However, treadmill exercise may not always accurately represent the horse's normal exercise as track surface, rider, tack and environmental variables are altered. Recently, the development of dynamic overground endoscopy (DOE) has addressed some of these shortcomings. A retrospective study was undertaken to...
Endoscopic, transoral, reduction of epiglottic entrapment via wire snare technique.
Veterinary surgery : VS    October 7, 2014   Volume 44, Issue 3 348-351 doi: 10.1111/j.1532-950X.2014.12280.x
Coleridge MO, DiGiovanni DL, Rodgerson DH, Spirito MA.To describe the use of a wire snare technique for epiglottic entrapment. Methods: Case series. Methods: Eight adult horses. Methods: Under general anesthesia, a modified mouth gag was placed in the oropharynx. An endoscope was passed through the gag until there was adequate visualization of the entrapped epiglottis. The entrapping mucosa was grasped with bronchoesophageal forceps and pulled rostrally, releasing the epiglottis. A custom snare was passed down the bronchoesophageal forceps to encircle the redundant subepiglottic mucosa. Tension was applied to the entrapping mucosa via the forceps...
Descriptive analysis of longitudinal endoscopy for exercise-induced pulmonary haemorrhage in Thoroughbred racehorses training and racing at the Hong Kong Jockey Club.
Equine veterinary journal    September 17, 2014   Volume 47, Issue 3 366-371 doi: 10.1111/evj.12326
Preston SA, Riggs CM, Singleton MD, Troedsson MH.Exercise-induced pulmonary haemorrhage (EIPH) is reported as a performance limiting condition in racehorses, yet few longitudinal studies characterising EIPH have been reported. Objective: To characterise EIPH during training and racing in the absence of prophylactic medication with furosemide among horses imported to Hong Kong during 2007-2012. Methods: Retrospective descriptive study of clinical endoscopy, EIPH status, and racing records. Methods: Thoroughbred geldings (n = 822) imported from New Zealand between 2007 and 2012 were retrospectively assigned to 4 groups: diagnosed with EIPH via...
Tracheal resection and anastomosis after traumatic tracheal stenosis in a horse.
Veterinary surgery : VS    September 10, 2014   Volume 44, Issue 2 265-269 doi: 10.1111/j.1532-950X.2014.12270.x
Barnett TP, Hawkes CS, Dixon PM.To report a resection and anastomosis technique to treat trauma-induced tracheal stenosis. Methods: Case report. Methods: A 9-year-old Warmblood gelding. Methods: Endoscopy, radiography, and ultrasonography were used to diagnose a single ring tracheal stenosis; the stenotic region was resected and adjacent tracheal rings anastomosed with an end-to-end technique. Results: The anastomosis healed completely despite formation of a unilateral partial mucosal stenosis "web," which was subsequently removed by transendoscopic laser surgery. During tracheal anastomosis, the left recurrent laryngeal ner...
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