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Topic:Gastrointestinal Diseases

Gastrointestinal diseases in horses encompass a range of disorders affecting the digestive tract, from the mouth to the intestines. These conditions can include colic, gastric ulcers, enteritis, and colitis, among others. The gastrointestinal system in horses is complex and sensitive, making it susceptible to various disruptions. Factors such as diet, management practices, and environmental stressors can influence the onset and progression of these diseases. Understanding the pathophysiology, diagnosis, and treatment options for gastrointestinal diseases is essential for maintaining equine health and welfare. This page aggregates peer-reviewed research studies and scholarly articles that explore the causes, clinical presentations, and management strategies for gastrointestinal diseases in horses.
Age-Related Comparative Study of C-Reactive Protein, Lipid Profile Biomarkers, and Strongyle Nematode Gastrointestinal Parasitic Burden in Horses.
Journal of equine veterinary science    June 6, 2026   106050 doi: 10.1016/j.jevs.2026.106050
Phetkarl T, Sontigun N, Boonchuay K, Sansamur C, Semmarath W.Gastrointestinal (GI) parasitic infection remains one of the most prevalent and economically significant health challenges in equine populations. The infective stages of GI parasites can activate systemic inflammatory responses and disrupt lipid metabolism leading to exacerbation of parasitic infection. Moreover, age-related low-grade chronic inflammation may further contribute to the persistent infection which impacts the health status of individual horses. Objective: This study examined serum levels of the inflammatory marker C-reactive protein (CRP) and lipid profile parameters to identify ...
Roux-en-Y gastrojejunostomy and jejunojejunostomy for pyloric obstruction bypass in a horse and a foal.
Equine veterinary journal    May 31, 2026   doi: 10.1002/evj.70203
Gandini M, Bolz N, Czech C, Hartman M, Giusto G.Gastric outflow obstruction in horses is a rare but challenging condition, often resulting from either congenital anomalies or acquired lesions such as chronic ulceration or pyloric polyps. Conventional surgical bypass procedures, including gastrojejunostomy (GJ) or gastroduodenostomy and less commonly duodenojejunostomy, can restore patency but may lead to postoperative complications. Objective: To describe the presentation, surgical management, and postoperative outcome of two horses-an adult and a foal treated with Roux-en-Y gastrojejunostomy combined with a side-to-side jejunojejunostomy (...
Development of a prognostic scoring system for systemic inflammatory response syndrome in donkeys.
Equine veterinary journal    May 31, 2026   doi: 10.1002/evj.70202
Barnabé MA, Bamford NJ, Elliott J, Chang YM, Rickards K, Menzies-Gow NJ.Systemic inflammatory response syndrome (SIRS) is associated with increased mortality in horses with gastrointestinal (GI) disease. However, there are no data relating to naturally occurring SIRS in donkeys. Objective: To determine SIRS frequency in donkeys with GI disease. To develop a donkey-specific prognostic SIRS score. Methods: Retrospective case series. Methods: Clinical records from donkeys presenting with GI disease in two independent cohorts (development cohort: n = 400, UK; validation cohort: n = 36, Australia) were reviewed. Age, sex, heart rate, respiratory rate, rectal te...
Influence of Housing and Fecal Egg Count on Cytokine Profiles (IL-4 and IL-13) in Equines.
Journal of equine veterinary science    May 1, 2026   105922 doi: 10.1016/j.jevs.2026.105922
Yalavarthi G, Sabbinen H, Kosuri P, Amalaradjou M, Govoni K, Nadeau J.Strongyles are parasitic roundworms that cause significant gastrointestinal infections in equines, primarily through contact with infected soil. Worldwide, strongylosis affects nearly 90% of horse populations. Objective: The objectives of our study were to determine if there was a relationship between fecal egg count (FEC) and housing types on interleukin IL-4 and IL-13. Methods: Horses (N=25) were separated into two groups based on housing conditions: pasture (housed on pasture 24/7; PS, N=13) and semi-intensive (housed in stalls with turnout overnight; SI, N=12). Within each housing group, t...
Abdominal palpation per rectum is highly sensitive for identifying small versus large intestinal lesions in horses presenting for colic.
Journal of the American Veterinary Medical Association    April 17, 2026   1-7 doi: 10.2460/javma.25.12.0837
Hallsten M, Fogle C, Shippy S, Hobbs KJ, Blikslager AT, Elane GL.To describe the sensitivity, specificity, predictive values, and accuracy of abdominal palpation per rectum in horses treated surgically for colic. Unassigned: Medical records were gathered over 5 years (2019 to 2024). Findings of abdominal palpation per rectum were collected and compared to surgical diagnosis, and cases were categorized as true or false positive and negative. Signalment, physical examination parameters, hematologic values, and years of examiner experience were recorded. Unassigned: Records of 453 horses were included. Overall sensitivity and positive predictive value were 86%...
Physical vs. Behavioral Clinical Signs in Horses with Squamous and Glandular Gastric Ulcers.
Veterinary sciences    March 27, 2026   Volume 13, Issue 4 328 doi: 10.3390/vetsci13040328
Pimenta J, Martins B, Mexedo A, Campilho R, Silva F, Cotovio M.Equine Gastric Ulcer Syndrome is a highly prevalent condition, yet its clinical diagnosis remains challenging due to the nonspecific nature of many associated signs. The relationship between the anatomical location of gastric ulcers and clinical presentation is still poorly defined. This retrospective study aimed to evaluate the association between gastric ulcer location and the clinical signs observed in horses. Medical records of 52 horses diagnosed with gastric ulcers by gastroscopy were retrospectively reviewed. Clinical signs were classified as physical, behavioral, or mixed, and ulcer lo...
Use of Vernier caliper to measure diameter and anastomotic index of end-to-end jejunojejunostomy in horses.
Veterinary surgery : VS    March 25, 2026   doi: 10.1111/vsu.70100
Gandini M, Giusto G.No abstract available
New Diagnostic Score for Sepsis in Adult Horses with Acute Gastrointestinal Disease.
Animals : an open access journal from MDPI    March 19, 2026   Volume 16, Issue 6 962 doi: 10.3390/ani16060962
Blangy-Letheule A, Montnach J, Perrier J, Lemonnier LC, Denis M, Rozec B, Lauzier B, Leroux AA.Colic is a leading cause of mortality in horses, particularly when associated with systemic inflammation and organ dysfunction. In human medicine, these complications are associated with sepsis, defined as organ dysfunction caused by a dysregulated, life-threatening host response to infection. However, no consensus sepsis score exists for adult horses. This retrospective study aimed to develop a diagnostic sepsis score for adult horses. Medical records from 295 horses admitted for colic to the Oniris equine emergency department (Nantes, France) between July 2011 and November 2021 were analyzed...
Epidemiological study and risk factors of equine (Equus ferus caballus) gastrointestinal helminth infections in the north and northeast of Iran.
Parasite epidemiology and control    March 19, 2026   Volume 33 e00493 doi: 10.1016/j.parepi.2026.e00493
Faghihzadeh Gorji F, Sadr S, Borji H.Understanding the epidemiology of gastrointestinal (GI) helminth infections in equines is critical for investigating drug resistance patterns and developing effective strategies to control and prevent these infections. There is a lack of data regarding horse GI helminths and risk factors in the north and northeast of Iran. Hence, the present study aimed to identify GI helminths in horses in these regions and determine their risk factors. A total of 340 fecal specimens from horses of north ( = 141) and northeast ( = 199) Iran were coprologically examined for GI helminth infections. The poly...
Clinical nutrition in equine colic: a scoping review from an equine nutritionist’s perspective.
Journal of equine veterinary science    March 14, 2026   105852 doi: 10.1016/j.jevs.2026.105852
Danese T, Asti V, Ablondi M, Raspa F, Cavallini D, Valle E.Colic represents one of the leading causes of morbidity and mortality in equine medicine, with nutritional management recognized as a key modifiable factor influencing postoperative recovery. However, guiding principles for nutritional enteral support in horses after colic remain limited, and current practices are largely empirical. Objective: This scoping review aimed to (1) examine enteral nutritional support protocols reported in literature through a scoping review to map the available evidence on equine clinical nutrition in the context of colic, and (2) propose a physiology-based interpre...
Starch Overload and Cecal Alkalinization: Impacts on the Intestinal Microbiota and Health of Horses.
Veterinary and animal science    March 11, 2026   Volume 32 100619 doi: 10.1016/j.vas.2026.100619
Bustamante CC, Pereira PAM, Fernandes CC, Canola PA, Doria RGS, Costa MC, Valadão CAA.Starch overload induces dysbiosis primarily through a reduction in cecal pH. This study aimed to evaluate the cecal microbiota following excessive starch intake, with or without the administration of an intracecal buffering solution. We hypothesized that the buffering solution would mitigate changes in the intestinal microbiota and associated clinical signs. Ten horses were randomly assigned to two groups, each receiving distinct treatments (Group I: saline solution [WSa] and starch-buffer [SB]; Group II: buffer-water [WB] and starch-saline [SSa]). Following starch overload (17.6 g/kg body wei...
Survey on Faecal Microbiota Transplantation and Probiotic Use in Equine Practice in France and Belgium.
Veterinary medicine and science    March 5, 2026   Volume 12, Issue 2 e70854 doi: 10.1002/vms3.70854
Loublier C, Taminiau B, Seidel L, Moula N, Tano C, Cesarini C, Costa M, Lecoq L, Daube G, Amory H.Faecal microbiota transplantation (FMT) and probiotics are used in equine practice. Understanding veterinarians' perceptions and practices is crucial for effective implementation. Objective: (1) Evaluate the prevalence, usage patterns and perceived effectiveness of probiotics and FMT among equine veterinarians in France and Belgium. (2) Assess their knowledge, practices and influencing factors across demographics and settings. (3) Explore links between FMT protocols and treatment satisfaction. Methods: Cross-sectional survey. Methods: An online survey collected demographic data and responses o...
Prolonged wireless measurement of intragastric pH in foals.
Journal of veterinary internal medicine    February 26, 2026   Volume 40, Issue 1 aalaf012 doi: 10.1093/jvimsj/aalaf012
Hodgson E, Romano TR, Stewart A, Bond S, Wise J.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...
In vitro anthelmintic activity of extracts and bioactive compounds from Azadirachta indica and Cnidoscolus angustidens on strongyles L3 larvae in horses.
Journal of equine veterinary science    February 16, 2026   Volume 159 105807 doi: 10.1016/j.jevs.2026.105807
Díaz-Alvarado T, Alcala-Canto Y, Elghandour MMMY, Salem MZM, Mariezcurrena-Berasain MD, Salem AZM.Gastrointestinal endoparasitic diseases, particularly those caused by some strongyles, represent one of the main health challenges in equine production. The prolonged use of synthetic anthelmintics has led to the development of resistance, which has prompted the search for more sustainable therapeutic alternatives. However, plant extracts rich in secondary metabolites are emerging as a promising option. Objective: The objective of this study was to evaluate the in vitro anthelmintic activity of aqueous extracts and bioactive compounds (total phenols and saponins) from Azadirachta indica and Cn...
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...
Beyond the host: Unveiling the independent microbiome of equine gastrointestinal nematodes.
PloS one    February 10, 2026   Volume 21, Issue 2 e0339596 doi: 10.1371/journal.pone.0339596
Gentilini F, Ogundipe TG, Turba ME, Romagnoli N, Lambertini C, Pollera C, Cremonesi P, Stancampiano L.Gastrointestinal nematode infections significantly impact equine health and welfare, with rising anthelmintic resistance demanding alternative control strategies. Emerging evidence suggests that parasitic nematodes harbour distinct microbiomes, potentially influencing host-parasite dynamics and parasite survival. This study aimed to characterize and compare the microbiomes of equine gastrointestinal nematodes and their hosts, focusing on differences in composition, diversity, and core microbiota structure across different intestinal sites, nematode subfamilies, and sexes. Faecal and nematode s...
Relationship Between Mean Faecal Gastrointestinal Nematode Egg Excretion in Horses and Its Variability: Implications for Control.
Pathogens (Basel, Switzerland)    February 2, 2026   Volume 15, Issue 2 156 doi: 10.3390/pathogens15020156
Cabaret J, Guerrero Molina C, Martínez-Ortiz-de Montellano C, Alcala Canto Y.Faecal egg counts (FECs) are used to assess the intensity of gastrointestinal nematode (GIN) infections in herbivores. FEC distribution is aggregated, meaning that approximately 20% of animals harbour 80% of infections. In times of escalating anthelmintic resistance, it may be necessary to restrict treatment to the animals with the heaviest infections. This strategy is called targeted selective treatment (TST) and is relevant to GIN, for example. The difficulty lies in identifying which animals to treat. One solution is to select potentially at-risk animals based on age (for example, treating ...
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...
Functional and molecular characterization of equine intestinal organoids across media conditions and intestinal segments.
BMC veterinary research    January 16, 2026   Volume 22, Issue 1 142 doi: 10.1186/s12917-025-05222-9
Richardson LM, Gordon J, Davila C, Chamoun-Emanuelli AM, Zdyrski C, Whitfield-Cargile CM.Gastrointestinal (GI) disease is a major cause of morbidity and mortality in horses, with disruption of the intestinal epithelial barrier playing a central role in disease pathogenesis. A deeper understanding of the molecular and functional properties of the equine intestinal barrier is essential to improve diagnostics and therapeutics. While intestinal organoids have emerged as a promising tool for modeling GI physiology and disease, equine-specific data remain limited. Existing studies vary in methodology and often lack functional characterization, particularly across different intestinal re...
Development and application of a focused ultrasound protocol in neonatal foals.
Veterinary journal (London, England : 1997)    December 27, 2025   Volume 315 106543 doi: 10.1016/j.tvjl.2025.106543
Ellero N, Maggi A, Busoni V, Imposimato I, Castagnetti C, Lanci A, Mariella J, Freccero F.This study aimed to develop a standardized ultrasound (US) protocol using selected thoracic and abdominal acoustic windows, to assess its feasibility and applicability in healthy foals, and to evaluate its usefulness for detecting common thoracic and abdominal conditions in sick foals. The Focused US (FUS) protocol included 12 thoraco-abdominal windows (4 right-side, 3 ventral, 5 left-side) using a curved-array probe. It was applied to cohorts of healthy (n = 17) and sick (n = 23) foals by a veterinary clinician with limited US experience. The FUS showed good feasibility and applicabil...
Changes in Fitness Parameters in Ridden Trained Showjumping Horses After Healing of Gastric Ulcers: Preliminary Results.
Veterinary sciences    December 21, 2025   Volume 13, Issue 1 9 doi: 10.3390/vetsci13010009
Busechian S, Di Salvo A, Orvieto S, Rueca F, Villella C, Sollevanti G, Pieramati C, Nisi I, Della Rocca G.Equine Gastric Ulcer Syndrome (EGUS) is a worldwide disease described in different categories of animals. A causal relationship between exercise and EGUS has been suggested, attributed to stress as well as physiological changes in the position of abdominal organs, especially during trot and gallop. EGUS can influence athletic fitness, as has been described in various papers on racehorses. The aim of this work was to determine if gastric ulcer healing is associated with changes in selected fitness parameters (i.e., speed, heart rate during exercise and recovery, stride length and frequency) in ...
Mycobacterium avium subsp. hominissuis infection in horses with granulomatous enterocolitis – first report in Poland.
Journal of veterinary research    December 10, 2025   Volume 69, Issue 4 545-552 doi: 10.2478/jvetres-2025-0067
Nowicka B, Łopuszyński W, Krajewska-Wędzina M, Biazik A, Sobuś M, Polkowska I, Szacawa E.Gastrointestinal mycobacteriosis in horses is difficult to diagnose because of the pathogen's intracellular nature and the non-specific clinical symptoms. Effective accurate diagnosis facilitates prognosis and treatment. Current diagnostic procedures and methods of collecting material do not permit definitive antemortem diagnosis. However, culturing, acid-fast bacilli staining, histopathology, PCR and immunological marker evaluation may prove useful. Unassigned: Three horses were admitted to a clinic for intensive care and a final diagnosis. Physical examination and additional tests were perfo...
Outbreak of poisoning by sodium hydrogen methylarsonate (MSMA)-an arsenic-based herbicide-in horses in Brazil.
Equine veterinary journal    December 8, 2025   doi: 10.1111/evj.70132
Pereira GF, Blimbliem MCH, Machado ALPR, Abdala JBR, Nogueira GM, Toma HS, de Carvalho TF, Delfiol DJZ.Arsenic poisoning in horses is rarely reported in the literature. However, arsenic compounds can be present in rodenticides, pesticides, and herbicides, representing a potential source of accidental exposure for horses. Objective: To describe the epidemiological, clinical, and laboratory findings from a herd of 31 horses exposed to pasture treated with an overdose of sodium hydrogen methylarsonate, and to compare results in a group of horses exposed to the recommended dosage of the same product. Methods: Observational field study. Methods: Thirty-one horses were evaluated after grazing on a pa...
Beneath the surface: gut microbes, cyathostomins and resident immune cells – Characterising the baseline.
International journal for parasitology    December 7, 2025   104755 doi: 10.1016/j.ijpara.2025.11.007
Yerlikaya Z, Miranda-CasoLuengo R, Jahns H, Byrne O, Meijer WG, Mulcahy G, Walshe N.Cyathostomins are the most prevalent and currently considered the most pathogenic gastrointestinal nematodes in horses. Their life cycle includes an encystment phase within the large intestinal mucosa, where up to 90 % of the total worm burden resides. Clinical disease ranges from chronic protein-losing enteropathy to acute, sometimes fatal, typhlocolitis. Despite their significance, the ecological interplay between cyathostomins, the host immune response, and the gut microbiota remains poorly understood. To our knowledge, this is the first study to investigate these interactions at the mucos...
Clinical features, diagnostic findings, and treatment response in Finnish horses examined for equine inflammatory bowel disease.
Acta veterinaria Scandinavica    December 3, 2025   Volume 68, Issue 1 2 doi: 10.1186/s13028-025-00831-8
Pekkarinen HM, Simola U, Niinistö KE, Syrjä PES.Equine inflammatory bowel disease (IBD) is challenging to diagnose and treat. Although the number of horses examined due to suspicion of IBD is increasing, the different treatments in clinical patients and their responses are not well documented. We sought to characterize the demography, signs, clinical and rectal biopsy findings, and treatment response in Finnish horses suspected to have IBD. Horses undergoing clinical examination due to suspected IBD in 2022 and with a good-quality rectal biopsy were selected for the study. General information, signs, clinical and histological findings, and ...
A novel dataset of 2,362 equine fecal microbiomes from veterinary teaching hospitals across three countries reveals effects of geography and disease.
Animal microbiome    December 3, 2025   Volume 7, Issue 1 124 doi: 10.1186/s42523-025-00493-x
McAdams ZL, Campbell EJ, Dorfmeyer RA, Turner G, Shaffer S, Ford T, Lawson J, Terry J, Raju M, Coghill L, Cresci L, Lascola K, Pridgen T....Horses and other equids are reliant on the gut microbiome for health, and studies have reported associations between certain clinical conditions and features of the fecal microbiome. However, research to date on the equine fecal microbiome has often relied on small sample sizes collected from single and relatively localized geographic regions. Previous work also largely employs single timepoint analyses, or horses selected based on limited health criteria. Results: To address these limitations and expand our understanding of the core microbiome in health, and the changes associated with advers...
The Role of Short-Chain Fatty Acids (SCFAs) in Colic and Anti-Inflammatory Pathways in Horses.
Animals : an open access journal from MDPI    December 3, 2025   Volume 15, Issue 23 3482 doi: 10.3390/ani15233482
Schank N, Cottone A, Wulf M, Seiter K, Thomas B, Miller LMJ, Anderson SL, Sahyoun A, Abidi AH, Kassan M, Verma A.Equine colic remains a prevalent and potentially life-threatening condition with multifactorial origins, including dietary imbalances, stress, and microbial dysbiosis. Central to equine gut health is the production of short-chain fatty acids (SCFAs), primarily acetate, propionate, and butyrate, generated through microbial fermentation of dietary fibers in the hindgut. These metabolites not only serve as vital energy sources but also play crucial roles in maintaining intestinal barrier integrity, modulating motility, and suppressing inflammation. This review explores the role of SCFAs in equine...
Lipid-rich abdominal fluid mimicking chyloabdomen in a horse. Alonso FH, Hallum J, Arndt S.We report here a case of lipid-rich abdominal fluid in a 31-y-old Arabian gelding with acute colic. Abdominocentesis yielded opaque, yellow-to-orange peritoneal fluid with an elevated triglyceride concentration (42 g/L, RI: <0.10 g/L; fluid:serum triglyceride ratio 11.4, RI: <1.0). A second abdominocentesis performed 3 d later revealed clear fluid, suggesting transient chyloabdomen. Despite medical management, the horse developed respiratory distress secondary to pharyngeal edema and was euthanized. Autopsy identified a large omental lipoma and severe ulcerative gastritis, but no effusion....
A novel kirkovirus may be associated with equine gastrointestinal disease.
Equine veterinary journal    November 14, 2025   Volume 58, Issue 2 414-422 doi: 10.1111/evj.70121
Haywood LMB, Clark A, Hause B, Sheahan B.Many cases of equine enterocolitis are suspected to be infectious in nature, but no pathogen is identified in many cases. Objective: Perform next-generation sequencing on faeces collected from cases of equine enterocolitis for the presence of novel viruses and determine if an identified novel virus is associated with cases of equine enterocolitis. Methods: Retrospective cohort study. Methods: Next generation sequencing was performed targeting viral genomes from n = 13 pooled faecal samples (n = 5 horses/pool) with enterocolitis. Subsequent qPCR was performed targeting the highly conser...
Correction: Maldonado Moreno et al. Analgesic and Gastrointestinal Effects of Methadone in Horses Undergoing Orchiectomy. Animals 2025, 15, 2358.
Animals : an open access journal from MDPI    November 10, 2025   Volume 15, Issue 22 3252 doi: 10.3390/ani15223252
Maldonado Moreno N, Alves Moreira J, Araujo De Oliveira L, Sanches Gontijo A, Castilho Baldi ML, Rocha Wenceslau R, Batista da Silveira Xavier A.... [...].
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