Analyze Diet

Topic:Forage

Forage is a primary component of the equine diet, consisting mainly of grasses, hay, and legumes that provide essential nutrients and fiber. It plays a significant role in maintaining digestive health and supporting the overall well-being of horses. The nutritional composition of forage can vary based on factors such as plant species, maturity at harvest, and environmental conditions. Proper management and selection of forage are important for meeting the dietary needs of horses and preventing issues such as colic or laminitis. This page compiles peer-reviewed research studies and scholarly articles that explore the nutritional value, management practices, and impact of forage on equine health and performance.
The horse gut bacteriome and anaerobic mycobiome are influenced by seasonal forages and small intestinal starch digestibility.
Journal of applied microbiology    August 13, 2025   lxaf203 doi: 10.1093/jambio/lxaf203
Wunderlich G, Bull M, McGilchrist N, Zhao C, Ross T, Rose M, Chapman B.The equine gut microbiome is a complex and dynamic ecosystem, housing a diverse consortium of bacteria and anaerobic fungi (AF) capable of breaking down complex plant matter and converting it into vital energy sources for their host. The aim of this study was to broaden our current understanding of bacterial and AF diversity in the equine hindgut and how it differs between cohorts and responds to dietary shifts. Results: Faecal samples were collected from 48 horses and the bacteriome and anaerobic mycobiome analysed using long-read amplicon sequencing. Samples were collected from racehorses (R...
The Use of Sound Recorders to Remotely Measure Grass Intake Behaviour in Horses.
Animals : an open access journal from MDPI    August 4, 2025   Volume 15, Issue 15 2273 doi: 10.3390/ani15152273
Taylor DEF, Lancaster BE, Ellis AD.Visual observation to record grass intake is time-consuming and labour-intensive. Technological methods, such as activity monitors, have been used but only record head position. This study aimed to evaluate sound recorders attached to headcollars to acoustically measure grass intake behaviour in horses as a low-cost alternative method. Pilot Study 1 assessed 6 × 11 min periods comparing bites/min and chews/min between video footage (VD) and sound recorders (SR). Grazing was identified audibly (SR) and visually through soundwave pattern software (SR). Chew rates (SR: 47 ± 5 chews/min, VD: 43 ...
Sources of Environmental Exposure to the Naturally Occurring Anabolic Steroid Ecdysterone in Horses.
Animals : an open access journal from MDPI    July 17, 2025   Volume 15, Issue 14 2120 doi: 10.3390/ani15142120
Sillence MN, Holt K, Li FI, Harris PA, Coyle M, Fitzgerald DM.Ecdysterone controls moulting and reproduction in insects, crustaceans, and helminths. It is also produced by many plants, probably as an insect deterrent. The steroid is not made by vertebrates but has anabolic effects in mammals and could be useful for treating sarcopenia in aged horses. However, ecdysterone is banned in horseracing and equestrian sports, and with no limit of reporting, the risk of unintended exposure to this naturally occurring prohibited substance is a concern. To explore this risk, pasture plants and hay samples were analysed for ecdysterone content, as well as samples of...
Ohio horse industry survey: feeding and housing management practices.
Translational animal science    July 15, 2025   Volume 9 txaf072 doi: 10.1093/tas/txaf072
Share ER, Mastellar SL, Rumble JN, Eastridge ML.Equine industry housing and feeding management strategies vary widely. Management choices are important as horses spend most of their time in housing environments and demonstrating ingestive/foraging behavior. As of 2023, over 1.4 million Ohioans identified as horse owners and/or enthusiasts. The objectives of this survey were to determine demographics of the Ohio horse industry, commonly used sources of information, knowledge gaps regarding equine management practices, and to explore what may influence equine management choices. Using Qualtrics (Provo, UT), a 52-question online, anonymous sur...
Prediction of the digestibility and digestible energy content of hay for horses using an enzymatic degradability method.
Animal : an international journal of animal bioscience    July 9, 2025   Volume 19, Issue 8 101597 doi: 10.1016/j.animal.2025.101597
Andueza D, Martin-Rosset W.The nutritive value of forage for horses is closely dependent on the digestibility of organic matter (OMD), which is typically measured in vivo. Researchers have developed a variety of prediction methods to estimate the digestibility value of hay. In ruminants, pepsin-cellulase degradability, expressed as dry matter enzymatic degradability (dCS) and organic matter enzymatic degradability (dCO), is a commonly employed method for predicting OMD in forage types. The objective of this study was to evaluate the feasibility of predicting the dry matter digestibility (DMD), OMD, energy digestibility ...
An Observational Study of Wood-Chewing in Mares and Their Foals Kept in Fenced Outdoor Paddocks with Variable Browsing Access.
Journal of applied animal welfare science : JAAWS    May 7, 2025   1-16 doi: 10.1080/10888705.2025.2496496
Bouquet A, Nicol C, Díez-León M.The natural behaviour of wood-chewing (WC) in horses may, under certain conditions, become excessive or it may precede crib-biting . However, the potential causes of WC, including frustrated foraging motivation) or developmental exploratory or teething behavior are poorly understood. We studied WC in 31 mares and their foals, examining associations with browsing access, stocking density, foal sex and performance of other non-nutritive oral behaviors. Behaviors (counts/hour) were recorded by all-occurrences sampling during focal, continuous observations of grazing,resting and suckling for 20 ...
Welfare assessment of racehorses provides a baseline for continued monitoring.
Equine veterinary journal    April 21, 2025   doi: 10.1111/evj.14510
Annan R, Trigg L, Allen K, Hockenhull J, Valenchon M, Mullan S.Racehorse welfare continues to be a focus of stakeholders both within and outside of the industry, and there is a need for evidence-based animal welfare data. Objective: To gather data on racehorse welfare through a combination of animal-based observations and information about management practices, and to ascertain the feasibility of trained industry assessors carrying out a racehorse welfare assessment. Methods: Cross-sectional. Methods: Sixteen trained industry assessors conducted individual observations of 737 racehorses in 21 Flat racing (F), 27 National Hunt (NH) and 26 Dual-purpose (D) ...
Effects of different grain types on nutrient apparent digestibility, glycemic responses, and fecal VFA content in weaned foals.
BMC veterinary research    April 14, 2025   Volume 21, Issue 1 273 doi: 10.1186/s12917-025-04716-w
Huang X, Li Q, Li X, Li C, Li J, He L, Jing H, Yang F, Li X.China's equine industry has shifted from traditional rough grazing to modern intensive farming, expanding the roles of horses into eventing, leisure, tourism, and meat and dairy production. Concurrently, equine nutrition has evolved from a forage-based diet to a more diverse regimen incorporating grain supplements to meet the heightened energy demands of intensive farming. However, nutrient digestibility and glycemic response vary considerably based on grain type, starch content, composition, and structural properties. Optimal grain selection is therefore essential for energy supplementation a...
Morphine and codeine in racing horse feed: is there reason for concern?
Arhiv za higijenu rada i toksikologiju    March 31, 2025   Volume 76, Issue 1 60-66 doi: 10.2478/aiht-2025-76-3888
Karačonji IB, Jelača T, Jurič A, Vrdoljak AL.Opiates such as morphine and codeine are substances often misused to improve the performance of racing horses during competitions and are therefore on the International Federation for Equestrian Sports' list of prohibited substances. However, a positive antidoping test may be due to the consumption of feed (mainly lucerne or oats) contaminated by opium poppy containing the alkaloids morphine and codeine. In order to determine whether a positive antidoping test is the result of an intentional abuse of opiates or consumption of feed contaminated by poppies, we optimised conditions for the extrac...
Host-feeding preferences of Culex pipiens and its potential significance for flavivirus transmission in the Camargue, France.
Medical and veterinary entomology    March 21, 2025   doi: 10.1111/mve.12802
Rodríguez-Valencia V, Olive MM, Le Goff G, Faisse M, Bourel M, L'Ambert G, Vollot B, Tolsá-García MJ, Paupy C, Roiz D.The spread of the West Nile (WNV) and Usutu (USUV) flaviviruses in Europe in recent decades highlights the urgent need to understand the transmission networks of these pathogens as a basis for effective decision-making. These viruses are part of a complex disease cycle that involves birds as principal hosts and humans and horses as dead-end hosts. Our study aims to uncover the intricate relationships between the main mosquito vector of these viruses, Culex pipiens L. (Diptera: Culicidae) and its feeding preferences based on the forage ratio among several host species, primarily birds in a lan...
Trophic rewilding by large herbivores reduces plant nitrogen and water limitation across seven sites irrespective of their edaphic conditions.
The Science of the total environment    March 20, 2025   Volume 973 179141 doi: 10.1016/j.scitotenv.2025.179141
Kaštovská E, Mastný J, Choma M, Čapek P, Jirků M, Bitomský M, Konvička M.Based on a growing understanding of the role of wild megafauna in the functioning of natural ecosystems, trophic rewilding by large herbivores is increasingly used as a nature-based solution to mitigate biodiversity loss and climate change in Europe and beyond. Despite the growing interest in implementing nature-based approaches to restore key non-productive ecosystem services, there is relatively little data available to assess the benefits and risks of rewilding projects. We therefore investigated the effects of year-round grazing by large ungulates on plant biomass characteristics and their...
Tracking the Track: The Impact of Different Grazing Strategies on Managing Equine Obesity.
Animals : an open access journal from MDPI    March 19, 2025   Volume 15, Issue 6 doi: 10.3390/ani15060874
Cameron L, Challinor M, Armstrong S, Kennedy A, Hollister S, Fletcher K.Horses evolved to live in herds, continuously moving and foraging. Domestic horses often have limited social contact and movement, with high calorific intake, contributing to obesity. "Track grazing" is an increasingly popular management system, but evidence of its impact on weight management, behaviour, and welfare is limited. Horses (n = 19) resident at HorseWorld (UK) were observed July to October 2023, monitoring bodyweight (kg), Body Conditions Score (BCS), hoof health, behaviour, and welfare indicators. Horses on track grazing systems lost significantly more bodyweight (kg) (F(1,15) = 8....
Pony feeding management: the role of morphology and hay feeding methods on intake rate, ingestive behaviors and mouth shaping.
Frontiers in veterinary science    April 12, 2024   Volume 11 1332207 doi: 10.3389/fvets.2024.1332207
Bordin C, Raspa F, Greppi M, Harris P, Ellis AD, Roggero A, Palestrini C, Cavallini D, Bergero D, Valle E.In the last decade, haynets and slow feeders have been promoted as sustainable tools to improve the feeding management of horses and reduce forage waste, but little is known about their effects on ponies. Therefore, the aim of this study was to analyze the effects of different hay feeding methods on the ingestive behaviors, intake rate and mouth shaping of ponies belonging to two breed types, which are characterized by different head morphologies. Shetland type (SH, n = 5) and Welsh/Cob type (WC, n = 4) ponies were fed hay using four feeding methods: on the ground (G), a fully filled h...
Nutrient Composition and Feed Hygiene of Alfalfa, Comparison of Feed Intake and Selected Metabolic Parameters in Horses Fed Alfalfa Haylage, Alfalfa Hay or Meadow Hay.
Animals : an open access journal from MDPI    March 13, 2024   Volume 14, Issue 6 889 doi: 10.3390/ani14060889
Köninger M, von Velsen-Zerweck A, Eiberger C, Löffler C, Töpper A, Visscher C, Reckels B, Vervuert I.The aim of this study was to examine the nutrient composition and feed hygiene of alfalfa as well as investigate the feed intake, blood, urine and faecal parameters of horses fed alfalfa haylage (AS) compared with alfalfa hay (AH) and meadow hay (MH). A total of 11 geldings were fed ad libitum (2.1% dry matter (DM) of body weight (BW)) with alfalfa haylage, alfalfa hay and meadow hay (MH) in a Latin square design. On days 0 and 21 of the feeding period, blood samples were analysed for kidney and liver parameters. Faecal samples were analysed for pH, DM and short-chain fatty acids (SCFAs). Spon...
Characteristics of potential adopters of wild horses and their willingness-to-pay for wild horses.
Journal of applied animal welfare science : JAAWS    February 18, 2024   1-13 doi: 10.1080/10888705.2024.2317278
Stowe CJ, White H.An overabundance of wild horses and burros on federal lands can lead to suboptimal welfare when there are insufficient forage and water resources. Placing some of these animals in private homes has been identified as a key part of the solution. A nationwide online survey completed by 2,247 current and former horse owners is used to assess the feasibility of accommodating this strategy. The survey tool addressed basic horse ownership and demographic information, previous experience with wild horses, and hypothetical wild horse adoption scenarios. Results suggest that most respondents are recept...
Environmental Management of Equine Asthma.
Animals : an open access journal from MDPI    January 30, 2024   Volume 14, Issue 3 446 doi: 10.3390/ani14030446
Diez de Castro E, Fernandez-Molina JM.Environmental practices related to the inhalation of airborne dust have been identified as the main cause of equine asthma (EA) and reasonably, they are truly relevant in its treatment and control, especially for horses with its severe form. Vast research regarding environmental recommendations has been conducted in recent years. However, no recent exhaustive reviews exist that gather all this new evidence. The aim of this review is to report and compare the most pertinent information concerning the environmental management of EA. The main findings highlight the importance of the type of forag...
Insulin dysregulated horses metabolic responses to forage pellets.
Journal of equine veterinary science    December 29, 2023   Volume 133 104991 doi: 10.1016/j.jevs.2023.104991
Macon EL, Harris P, McClendon M, Perron B, Adams A.Hyperinsulinemia-associated laminitis (HAL) is the primary concern for insulin dysregulated (ID) equids and their insulin response to the consumption of oral, nonstructural carbohydrates (NSC) has been shown to be a risk predictor for HAL development. This randomized, crossover study's objective was to examine the insulinemic responses to 3 forage pellets (1 g/kg BW) (timothy hay, TH, 9.5 % CP & 10 % NSC DM; alfalfa hay, AH, 16.3 % CP & 9.8 % NSC DM; timothy-alfalfa hay; TAH, 17.2 % CP & 9.8 % NSC DM) along with a positive (dehulled oats; OG, 14.7 % CP & 59.7 % NSC DM) and negative dietary cha...
A national survey of anthelmintic resistance in ascarid and strongylid nematodes in Australian Thoroughbred horses.
International journal for parasitology. Drugs and drug resistance    November 29, 2023   Volume 24 100517 doi: 10.1016/j.ijpddr.2023.11.006
Abbas G, Ghafar A, McConnell E, Beasley A, Bauquier J, Wilkes EJA, El-Hage C, Carrigan P, Cudmore L, Hurley J, Gauci CG, Beveridge I, Ling E....This study quantified the extent of anthelmintic resistance (AR) in ascarid and strongylid nematodes against commonly used anthelmintics in Australian Thoroughbred horses. Faecal egg count reduction tests (FECRTs, n = 86) and egg reappearance period (ERP) tests were conducted on 22 farms across Australia. Faecal egg counts (FECs) were determined using the modified McMaster technique, and percent faecal egg count reduction (%FECR) was calculated using the Bayesian hierarchical model and hybrid Frequentist/Bayesian analysis method. The results were interpreted using old (published in 1992) and...
Changes in the nutrient profile and the load of mycotoxins, phytoestrogens, and pesticides in horse pastures during spring and summer in Austria.
Journal of equine veterinary science    November 3, 2023   Volume 131 104958 doi: 10.1016/j.jevs.2023.104958
Son V, Penagos-Tabares F, Hollmann M, Khiaosa-Ard R, Sulyok M, Krska R, Zebeli Q.Pastures are used for grazing and the production of conserved roughage in horses. Yet, the nutritional profile of the forage varies from spring to late summer, affecting equine nutrient supply and health. In addition, environmental factors may also favor plant contaminants such as mycotoxins. This study aimed to determine the nutritional profile and contaminant load of selected horse pastures from early spring till late summer. The nutrient composition (main macronutrients, macro elements and trace elements), as well as mycotoxins, metabolites, pesticides, and plant-derived compounds of seven ...
Arsenic Levels and Seasonal Variation in Pasture Soil, Forage and Horse Blood Plasma in Central Punjab, Pakistan.
Bulletin of environmental contamination and toxicology    October 31, 2023   Volume 111, Issue 5 64 doi: 10.1007/s00128-023-03819-0
Ugulu I, Khan ZI, Ahmad K, Bashir H, Mehmood N, Zafar A.The present study aimed to determine the accumulation levels of arsenic in pasture soil, forage and animals. An atomic absorption spectrophotometer was used to determine the concentration of metals in the samples of soil, forage and blood plasma of horses. The level of arsenic ranged between 4.26 mg/kg (summer) and 4.66 mg/kg (winter) in soil samples and 2.67 mg/kg (summer) and 2.94 mg/kg (winter) in forage samples. In blood plasma samples, the mean arsenic (As) values varied between 1.38 and 1.52 mg/L. In the blood plasma samples, the mean As values varied between 1.38 and 1.52 mg/L. No...
Confidence does not mediate a relationship between owner experience and likelihood of using weight management approaches for native ponies.
PloS one    October 12, 2023   Volume 18, Issue 10 e0292886 doi: 10.1371/journal.pone.0292886
Ward AB, Harris PA, Argo CM, Watson CA, Burns NM, Neacsu M, Russell WR, Grove-White D, Morrison PK.Native ponies are at increased risk of obesity and metabolic perturbations, such as insulin dysregulation (ID), a key risk factor for endocrinopathic laminitis. Management and feeding practices can be adapted to maintain healthy body condition and support metabolic health, but owners may inadvertently provide their ponies with inappropriate management leading to obesity and exacerbating risk of metabolic disease. Adoption of preventative weight management approaches (WMAs), including regular monitoring of body condition, providing appropriate preserved forage, promoting seasonal weight loss, a...
Potential impact of natural conditions on the rostral oral health: a study of horses in Iceland.
Journal of the American Veterinary Medical Association    October 9, 2023   Volume 261, Issue S2 S108-S113 doi: 10.2460/javma.23.06.0303
Hain AM, Þórisdóttir SL, Tretow M, Bienert-Zeit A.In the context of a study of Equine Odontoclastic Tooth Resorption and Hypercementosis (EOTRH), elderly Icelandic horses were examined in their originating country. The subject of this survey was the impact of dental treatment and keeping and feeding management on the health of the rostral oral cavity. A total of 170 horses (aged ≥ 15) located in different areas of Northwest, West, and South Iceland. The horse owners completed a questionnaire about keeping, feeding, and preventative dental care. The horses were clinically examined with particular attention to gingival and dental disorders of...
Effects of Different Hay Feeders, Availability of Roughage on Abnormal Behaviors and Cortisol Circadian Rhythm in Horses Kept in Dry Lots.
Journal of equine veterinary science    August 23, 2023   Volume 130 104911 doi: 10.1016/j.jevs.2023.104911
Carvalho Seabra J, Hess T, Martinez do Vale M, Spercoski KM, Brooks R, Dittrich JR.Free choice forage could be the best option regarding horses' welfare but can lead to increased body weight (BW), and waste of hay. Automatic box feeders (BF) and slow feeders (SF) decrease food waste, but it is unknown how these affect the horses' time-budget (TB). This study compared the effects of feeding free choice hay (FC), to a SF and an automated BF on the horses' cortisol circadian rhythm (CCR) and behavior by 24-hours continuous behavioral sampling (CBS). The study was designed as a 3 × 3 Latin square design with 15 polo horses divided into 3 groups, for 15 days on each treatment....
Protein Evaluation of Feedstuffs for Horses.
Animals : an open access journal from MDPI    August 14, 2023   Volume 13, Issue 16 2624 doi: 10.3390/ani13162624
Bockisch F, Taubert J, Coenen M, Vervuert I.The German Society of Nutrition Physiology has proposed a new protein evaluation system for horse feeds to estimate pre-cecally digestible crude protein (pcdCP) and amino acids (pcdAA) from chemical properties. A total of 71 feeds for horses were chemically tested and evaluated according to the new protein evaluation system. A feeding trial with eight horses tested whether differences in estimated pcdAA and neutral detergent soluble CP (NDSCP) in the diet were reflected by post-prandial (ppr) kinetics of plasma lysine (Lys) by feeding a complementary feed (control = CTRL) with 1.02 g Lys/100 k...
Forage:Concentrate Ratio Effects on In Vivo Digestibility and In Vitro Degradability of Horse’s Diet.
Animals : an open access journal from MDPI    August 11, 2023   Volume 13, Issue 16 2589 doi: 10.3390/ani13162589
Zicarelli F, Tudisco R, Lotito D, Musco N, Iommelli P, Ferrara M, Calabrò S, Infascelli F, Lombardi P.Determination of digestibility represents the first step for the evaluation of the net energy content of feed for livestock animals. The aim of this study was to evaluate the in vivo digestibility and in vitro degradability of five diets characterized by different forage/concentrate ratios (F:C) in horses. The in vitro degradability was determined by the Gas Production Technique (GPT), using as an inoculum source the feces of the same subjects used for the in vivo test. Five diets consisting of poliphyte hay, straw and grains of barley and oats with a different F:C ratio [90/10 (Diet 1); 78/22...
Effect of pony morphology and hay feeding methods on back and neck postures.
Journal of animal physiology and animal nutrition    July 14, 2023   Volume 108 Suppl 1 3-14 doi: 10.1111/jpn.13861
Bordin C, Raspa F, Harris P, Ellis AD, Roggero A, Palestrini C, Bergero D, Valle E.The application of hay feeding devices, such as the use of hay nets or slow feeders, can help with the management of weight in ponies; however, there is still a lack of knowledge regarding their effect on equine posture. Therefore, the aim of the study was to assess the effect of different feeding devices on the posture of ponies using morphometric analysis. Two different breed types, Shetland type (SH, n = 5) versus Welsh Cob type (WC, n = 4), were fed the same forage in four different ways: on the ground (G), using a fully filled haynet (HF), using a partially filled haynet (HL) and...
Dietary Transitions Toward Sustainable Horse Feeding.
Journal of equine veterinary science    July 3, 2023   Volume 128 104880 doi: 10.1016/j.jevs.2023.104880
Karasu GK, Rogers CW, Gee EK.Sustainability is the balancing act of optimizing the use of current resources without compromising the current or future environment. Within the agriculture sector the primary focus of sustainability has been to reduce environmental pollution, specifically greenhouse gasses (GHG) emissions, nitrogen emissions, and leaching. For the equine industry the first step towards sustainability is the documentation and critique of current feeding and management practices to permit modifications to enable the industry meet social and legislative obligations. As a monogastric hindgut fermenter on a per k...
Safety and efficacy of a feed additive consisting of an essential oil from the seeds of Myristica fragrans Houtt. (nutmeg oil) for all animal species (FEFANA asbl).
EFSA journal. European Food Safety Authority    June 16, 2023   Volume 21, Issue 6 e08066 doi: 10.2903/j.efsa.2023.8066
Bampidis V, Azimonti G, Bastos ML, Christensen H, Durjava M, Kouba M, López-Alonso M, López Puente S, Marcon F, Mayo B, Pechová A, Petkova M....Following a request from the European Commission, EFSA was asked to deliver a scientific opinion on the safety and efficacy of an essential oil from the seeds of Houtt. (nutmeg oil), when used as a sensory additive in feed and water for drinking for all animal species. The additive contains myristicin (up to 12%), safrole (2.30%), elemicin (0.40%) and methyleugenol (0.33%). For long-living and reproductive animals, the Panel on Additives and Products or Substances used in Animal Feed (FEEDAP) considered of low concern the use of the additive in complete feed at 0.2 mg/kg for laying hens and...
Efficiency of round bale feeders: comparison of Tombstone versus Hay Saver.
Journal of equine science    June 12, 2023   Volume 34, Issue 2 51-54 doi: 10.1294/jes.34.51
Hyde KA, Altman A, Banasek R, Gastal MO, Gastal EL.Hay wastage when feeding round bales due to contamination, deterioration, and animal refusal can accrue large financial losses for farmers. The present study investigated the efficiency of the conventional Tombstone-style feeder system compared to the Hay Saver feeder system to reduce hay wastage in feeding round hay bales. Mares were distributed equally into two groups, Tombstone and Hay Saver, and fed six bales per group over 48 days. Hay wastage was collected daily, dried, and weighed, while the mares were weighed weekly. Overall, the Hay Saver feeder showed less hay wastage, higher mean ma...
Effect of diet composition on glandular gastric disease in horses.
Journal of veterinary internal medicine    June 1, 2023   Volume 37, Issue 4 1528-1536 doi: 10.1111/jvim.16747
Julliand S, Buttet M, Hermange T, Hillon P, Julliand V.Nutritional factors are suggested to influence the incidence and severity of glandular gastric disease (GGD) in horses. Objective: To retrospectively assess whether dietary fermentable carbohydrates increase the severity of GGD and to prospectively evaluate whether the partial substitution of concentrates by dehydrated alfalfa would decrease GGD severity scores. Methods: In total, 82 trotters from 4 training centers exercised ≥5 days/week. Methods: Multicenter retrospective observational study, and prospective 2-arm randomized trial. Glandular mucosae were observed by gastroscopy and score...
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