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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.
Evaluating ex vivo toll-like receptor agonist response as a potential biomarker in equine gastric ulcer syndrome. Equine gastric ulcer syndrome (EGUS) is highly prevalent in horses. Despite its presumed painful nature, evaluation of objective biomarkers associated with EGUS presence and severity remains limited. The objective of this study was to investigate the potential of interleukin-1 beta (IL-1β) release by peripheral blood mononuclear cells (PBMCs) following ex vivo stimulation of toll-like receptors 2 and 4 (TLR2 and TLR4) as a potential biomarker for EGUS status, with gastric lesions used as a proxy for presumed EGUS-associated pain. Venous blood was collected from 77 horses, PBMCs were isolated ...
Magnesium Dysregulation. Magnesium (Mg) is a critical intracellular cation involved in energy metabolism, neuromuscular and cardiac stability, and endocrine regulation of calcium and potassium. In horses, Mg dysregulation is common in gastrointestinal disease, systemic inflammation and critical illness, yet often remains underdiagnosed. Hypomagnesemia contributes to ileus, cardiac arrhythmias, and refractory hypocalcemia or hypokalemia, whereas hypermagnesemia is rarely reported and typically iatrogenic. This review summarizes Mg physiology, regulation, clinical manifestations of Mg dysregulation, diagnostic approache...
Epidemiological study of strongyle infections in equines in Egypt: prevalence and risk factors. Equine strongylosis is one of the most prevalent gastrointestinal parasitic diseases affecting horses and donkeys worldwide, leading to reduced health, productivity, and working performance. This study aimed to determine the prevalence of gastrointestinal strongyle infection and identify associated risk factors among equines in three Egyptian governorates. Unassigned: A cross-sectional study was conducted on 540 horses and donkeys. Fresh fecal samples were collected and examined using the magnesium sulfate flotation technique for the detection of strongyle eggs. Associations between infection ...
Efficiency of a Combination of Polyethylene Glycol and Psyllium on the Evacuation of Sand Compared to Established Treatment Regimes in Sand Enteropathy of the Horse. The accumulation of sand in the abdomen is a rising risk for colic in horses. Sand mainly accumulates in the ascending colon in the cranioventral abdomen. Evacuation of sand is facilitated by the application of psyllium supported with a laxative via nasogastric intubation. Laxatives currently used are either sodium sulfate/magnesium sulfate or mineral oil. The aim of this study was to compare the efficiency of polyethylene glycol, a laxative already used in human medicine for chronic constipation, with that of the above-described, established therapy options. Therefore, 44 horses diagnosed wit...
Concurrent Small Intestinal Neoplasia And Large Colon Volvulus In A Standardbred Yearling. Large colon volvulus is a common, life-threatening cause of colic in horses. Gastrointestinal neoplasia is a rare cause of abdominal pain in young horses. A 1-year-old Standardbred colt presented with acute colic unresponsive to medical treatment. An exploratory laparotomy identified extensive gastrointestinal pathology, and euthanasia was elected due to a poor prognosis. Necropsy revealed a 360-degree volvulus of the caecum and large colon with adhesions, enterotyphlocolitis, and a well-circumscribed mesenteric mass arising from the small intestine. Histopathology in combination with immunohi...
SURVIVAL ON THE MARGINS: NICHE PARTITIONING AND DENSITY-DEPENDENT SPATIAL DISTRIBUTION OF EQUINE CYATHOSTOMINS. Habitat preferences of gastrointestinal nematodes are well-documented in small hosts, but equine cyathostomin diversity has largely been characterized only at farm or regional levels. While organ-level site preferences are known, within-organ spatial distributions remain unexplored. We investigated the longitudinal and radial distribution of adult cyathostomins within the large-intestinal lumen. Intact large intestines from 5 Shetland ponies were frozen post-necropsy and transected into 4-cm sections. Three micro-habitat samples (2.5 cm diameter) were collected per section. We recovered 2,444 ...
Comparison of Rectal and Intraoperative Findings in Horses with Colic. Per rectum examination (PRE) is commonly used in the triage of horses with acute abdominal pain, despite reports of associated risk factors for both horses and personnel, but its diagnostic accuracy is questionable. This multicenter, observational study aimed to evaluate the agreement between PRE findings and surgical findings obtained via exploratory laparotomy in horses with colic. A total of 201 cases from four equine referral hospitals across Europe were included. Rectal findings were categorized as primary (most likely cause of colic) or additional. Agreement with surgical findings was as...
Risk factors for post-partum colic in a population of UK and Irish Thoroughbred broodmares. Broodmares are at increased risk of gastrointestinal colic. However, colic risk factors specific to this population have not been investigated. Objective: To investigate horse- and management-level risk factors for post-partum colic in a cohort of Thoroughbred broodmares in the United Kingdom and Ireland. Methods: Prospective, nested case-control study. Methods: Twenty-nine Thoroughbred stud farms in the United Kingdom and Ireland were recruited, and 1044 mares were followed over the 2021 and/or 2022 foaling seasons. Data were collected on signalment, medical and management history for post-pa...
Prevalence of gastrointestinal parasites in horses in the district of Abidjan, Ivory Coast. Gastrointestinal parasitic infections constitute a major constraint to equine health and productivity, particularly in tropical regions where climatic and environmental conditions favor parasite survival and transmission. In Côte d'Ivoire, epidemiological data regarding gastrointestinal parasites in horses remain limited, especially in urban and peri-urban settings such as the district of Abidjan. This study aimed to determine the prevalence, diversity, and associated risk factors of gastrointestinal parasites affecting horses in the study area. A descriptive and analytical cross-sectional st...
A retrospective study of morbidity and mortality in captive Przewalski’s horses (Equus przewalskii) between 1973 and 2021. Przewalski's horses (Equus przewalskii) were declared extinct in the wild in 1996, but reintroduction programmes initiated in 1997 have enabled the re-establishment of free-ranging populations. The maintenance of healthy captive populations remains essential to support these conservation efforts, yet systematic pathological investigations in captive Przewalski's horses are lacking. This study provides the first necropsy-based overview of morbidity and mortality in a captive European population. Pathology reports from 64 horses examined between 1973 and 2021 were reviewed retrospectively. Acros...
Age-Related Comparative Study of C-Reactive Protein, Lipid Profile Biomarkers, and Strongyle Nematode Gastrointestinal Parasitic Burden in Horses. 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 ...
Evaluation of systemic inflammatory response syndrome criteria in horses with colic associated with acute gastrointestinal disease. Systemic inflammatory response syndrome (SIRS) is a severe clinical condition commonly observed in horses with acute gastrointestinal disease associated with colic and is linked to increased risk of organ dysfunction and mortality. Early identification of SIRS and reliable prognostic indicators are essential to improve clinical management. This study aimed to assess the occurrence of SIRS in adult horses with colic, evaluate its association with outcome, and investigate the prognostic value of selected clinicopathological variables. Unassigned: A total of 41 adult horses admitted for acute gas...
Roux-en-Y gastrojejunostomy and jejunojejunostomy for pyloric obstruction bypass in a horse and a foal. 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. 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...
Anatomical distribution of meconium detected by focused abdominal ultrasound in hospitalized healthy and sick neonatal foals. Meconium impaction is a common cause of neonatal colic in foals, yet its ultrasonographic appearance and distribution remain poorly characterized. Objective: This study aimed to describe the frequency, distribution, and ultrasonographic appearance of meconium in hospitalized neonatal foals using a standardized focused ultrasound (FUS) abdominal protocol. Methods: The FUS protocol included 9 acoustic windows (3 left-sided, 3 ventral, 3 right-sided) and was performed once during hospitalization by a single operator using a curvilinear transducer. Results: Thirty-six foals (16 healthy and 20 sick...
Influence of Housing and Fecal Egg Count on Cytokine Profiles (IL-4 and IL-13) in Equines. 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...
Historical perspectives guide advances in equine minimally invasive soft tissue surgery. Equine minimally invasive soft tissue surgical techniques have increased in demand and frequency with concurrent expansion of training programs under the oversight of the American College of Veterinary Surgeons. Benefits of recent advances in laparoscopic techniques include reduced cost and risk associated with general anesthesia and anesthetic recovery, improved visualization of the surgical field relative to open procedures, and more rapid return to performance, further improving patient welfare and limiting economic loss to the industry following surgical interventions. The evolution of lap...
Heart rate variability in horses with naturally occurring gastric ulcers: Response to omeprazole and sucralfate treatment. Equine gastric ulcer syndrome (EGUS) is the most common disease affecting the equine stomach. Heart rate variability (HRV) describes and quantifies the variability between consecutive heartbeats due to the neurohormonal regulation of the heart. It has been considered a non-invasive method to detect autonomic tone changes that can be influenced by pain and disease. Unassigned: This study aimed to assess the HRV indices in horses affected by EGUS submitted or not to treatment. Unassigned: A cohort of 45 mares underwent baseline gastroscopy (T0); 24/45 mares diagnosed with Equine Squamous Gastric...
Abdominal palpation per rectum is highly sensitive for identifying small versus large intestinal lesions in horses presenting for colic. 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. 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...
New Diagnostic Score for Sepsis in Adult Horses with Acute Gastrointestinal Disease. 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. 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. 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. 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. 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...
The efficacy of psyllium combined with aloe vera in treating sand accumulation in equine intestines. Sandy enteropathy is more common in horses living in sandy environments, such as those in Saudi Arabia. Sand accumulation in the intestines can be eliminated and prevented by administering psyllium husk. Unassigned: This study focuses on the combination of psyllium and aloe vera extract, known for its protective and anti-inflammatory properties. Unassigned: Fourteen Arabian horses with naturally acquired sand accumulation were randomly assigned to two groups: the psyllium group (PG, = 7) and the psyllium and aloe vera group (PAG, = 7), both of which were treated daily for 7 days. Efficacy wa...
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...
In vitro anthelmintic activity of extracts and bioactive compounds from Azadirachta indica and Cnidoscolus angustidens on strongyles L3 larvae in horses. 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. 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...
