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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.
Are horses that undergo an exploratory laparotomy for correction of a right dorsal displacement of the large colon predisposed to post operative colic, compared to other forms of large colon displacement?
Equine veterinary journal    February 4, 2010   Volume 42, Issue 1 44-46 doi: 10.2746/042516409X464122
Smith LJ, Mair TS.It is a clinical impression that horses diagnosed with a right dorsal displacement (RDD) of the large colon, are more likely to suffer from recurrent episodes of colic post operatively, compared to other forms of nonstrangulating large colon displacement. Objective: To investigate whether the type of nonstrangulating large colon displacement identified at exploratory laparotomy would influence long-term outcome. Objective: Horses identified with a RDD of the large colon at exploratory laparotomy would be more likely to experience recurrent episodes of post operative colic than other types of d...
Equine gastric ulcer syndrome: the continuing conundrum.
Equine veterinary journal    November 26, 2009   Volume 41, Issue 7 611-615 doi: 10.2746/042516409x468056
Nadeau JA, Andrews FM.No abstract available
Pathology of gastritis and gastric ulceration in the horse. Part 1: range of lesions present in 21 mature individuals.
Equine veterinary journal    November 26, 2009   Volume 41, Issue 7 638-644 doi: 10.2746/042516409x464816
Martineau H, Thompson H, Taylor D.Gastric ulceration is now widely recognised as an important disease in high performance horses. Little is known about gastric histopathology in healthy or diseased animals; a comprehensive assessment would enhance interpretation of gross findings through assessment of their accuracy and allow for identification of lesion variety and pathogenesis in different anatomical regions of the stomach. Objective: To investigate the true extent and variety of gastric lesions in a mixed population of mature horses at post mortem. Methods: Stomachs were removed from a mixed population of 21 horses at post ...
Pathology of gastritis and gastric ulceration in the horse. Part 2: a scoring system.
Equine veterinary journal    November 26, 2009   Volume 41, Issue 7 646-651 doi: 10.2746/042516409x464799
Martineau H, Thompson H, Taylor D.High numbers of racehorses in training are reported to have gastric ulceration. Gross lesion scoring systems exist, but there is no fixed protocol with which to record gastric microscopic findings. In man, the histological classification of stomach lesions helps in the identification of recognised and emerging aetiologies of gastric disease and aids accurate comparison of findings between studies. In horses, the development of such a system would therefore be of benefit. Objective: To develop a pathological scoring system that can be applied to examine samples of the equine stomach at biopsy a...
Comparison of survival rates for geriatric horses versus nongeriatric horses following exploratory celiotomy for colic.
Journal of the American Veterinary Medical Association    November 3, 2009   Volume 235, Issue 9 1069-1072 doi: 10.2460/javma.235.9.1069
Krista KM, Kuebelbeck KL.To determine how survival rates in geriatric horses (>or= 20 years old) undergoing abdominal exploratory surgery for colic compare with survival rates for younger (nongeriatric) horses. Methods: Retrospective case-control study. Methods: 56 geriatric horses and 487 nongeriatric horses undergoing exploratory celiotomy for colic. Methods: Medical records of all horses undergoing emergency abdominal exploratory surgery for primary gastrointestinal tract lesions over a 10-year period were reviewed. Data retrieved included signalment, primary gastrointestinal tract lesion, whether the horse was ...
Association between hyperglycemia and survival in 228 horses with acute gastrointestinal disease.
Journal of veterinary internal medicine    September 22, 2009   Volume 23, Issue 6 1261-1265 doi: 10.1111/j.1939-1676.2009.0395.x
Hassel DM, Hill AE, Rorabeck RA.Glucose homeostasis is dysregulated in critically ill humans resulting in hyperglycemia and decreased survival. Hyperglycemia is common in horses presenting with abdominal crisis, and this might be associated with a worse prognosis for survival. Objective: To determine if hyperglycemia in horses with acute abdominal disease is associated with increased odds of failure to survive to hospital discharge. Methods: Two hundred and twenty-eight adult horses with acute gastrointestinal disease. Methods: Observational retrospective study. Records of horses > 1 year of age presenting for treatment o...
Comparative analysis of c-kit gene expression and c-Kit immunoreactivity in horses with and without obstructive intestinal disease.
Veterinary journal (London, England : 1997)    August 27, 2009   Volume 186, Issue 1 64-69 doi: 10.1016/j.tvjl.2009.07.015
Fintl C, Pearson GT, Mayhew IG, Stewart Lowden C, Hopwood PA, Palgrave CJ, Proudman CJ, Barrie Edwards G, Taylor SE, Hudson NP.Previous immunohistochemical studies targeting the receptor tyrosine kinase (c-Kit) have demonstrated an apparent reduction in the number of gastrointestinal pacemaker cells--the interstitial cells of Cajal (ICC)--in horses with intestinal motility disorders. This study compared the level of transcription of the c-kit gene encoding this receptor in horses with and without such motility disorders. Transcription levels of this gene were also compared to the density of ICC immunohistochemically positive for the c-Kit antigen. Intestinal samples were collected from 18 horses with intestinal diseas...
Enteroliths and other foreign bodies.
The Veterinary clinics of North America. Equine practice    July 8, 2009   Volume 25, Issue 2 329-340 doi: 10.1016/j.cveq.2009.04.010
Pierce RL.This article focuses on obstructive diseases of the large intestine (large and small colons) caused by intraluminal bodies. Large intestinal obstructions from intraluminal bodies can be divided into the following categories: enteroliths or mineral concretions, bezoars (hair or plant material), and ingested foreign objects. Clinical presentation and treatment of obstructive diseases are presented in this article and are similar regardless of the cause.
Acute diarrhea in hospitalized horses.
The Veterinary clinics of North America. Equine practice    July 8, 2009   Volume 25, Issue 2 363-380 doi: 10.1016/j.cveq.2009.05.001
Chapman AM.The development of diarrhea among hospitalized horses is a major concern for equine veterinary hospitals and referral centers. It is a potential complication of hospitalization for surgical or medical procedures and can contribute to the morbidity and mortality of horses with gastrointestinal and non-gastrointestinal diseases. Unfortunately, it can be difficult to pinpoint the exact cause of acute diarrhea or colitis, and in most cases, the specific etiologic agent is presumptive or undetermined. This article discusses the major etiologic agents of diarrhea in hospitalized horses, considers fa...
Coagulopathies in horses with colic.
The Veterinary clinics of North America. Equine practice    July 8, 2009   Volume 25, Issue 2 247-258 doi: 10.1016/j.cveq.2009.04.001
Monreal L, Cesarini C.The most common coagulopathy in horses with colic is a hypercoagulable state associated with disseminated intravascular coagulation. The intensity of this coagulopathy depends on the severity and duration of the gastrointestinal lesion, with the ischemic and inflammatory problems and peritonitis being the most frequently affected by coagulopathies. Early initiation of prophylactic therapy significantly reduces the severe hypercoagulable state in horses with intestinal conditions which are recognized to be at high risk for disseminated intravascular coagulation. In addition to the systemic coag...
Impactions of the small and large intestines.
The Veterinary clinics of North America. Equine practice    July 8, 2009   Volume 25, Issue 2 317-327 doi: 10.1016/j.cveq.2009.04.002
Plummer AE.Impactions of the small and large intestines are frequently diagnosed as the cause of colic in horses. An impaction is an accumulation of dehydrated ingesta in a portion of the digestive tract, typically at sites where the intestinal diameter decreases. The specific pathogenesis for impactions is not fully understood, although risk factors have been identified for several types of impactions. Treatment for impactions includes withholding feed until the impaction passes, rehydrating the ingesta, and, if necessary, administering analgesic agents. In severe cases, surgery may be necessary to reli...
Inflammatory bowel disease in horses.
The Veterinary clinics of North America. Equine practice    July 8, 2009   Volume 25, Issue 2 303-315 doi: 10.1016/j.cveq.2009.04.008
Kalck KA.This article discusses types of inflammatory bowel disease in horses, including pathologic findings and proposed causes. The diagnosis of inflammatory bowel disease is presented in detail, including minimum database, rectal palpation, abdominal ultrasound, abdominocentesis, biopsy procedures, and absorption tests. Treatment recommendations and prognosis are also discussed.
Peritoneal D-dimer concentration for assessing peritoneal fibrinolytic activity in horses with colic.
Journal of veterinary internal medicine    July 2, 2009   Volume 23, Issue 4 882-889 doi: 10.1111/j.1939-1676.2009.0344.x
Delgado MA, Monreal L, Armengou L, Ríos J, Segura D.Plasma D-dimer concentration is a useful marker to assess systemic coagulation and fibrinolytic activities in humans, dogs, and horses. Peritoneal fibrinolytic activity increases in horses with colic, especially in horses with endotoxin in the peritoneal fluid. Objective: Peritoneal D-dimer concentration can be used to assess peritoneal fibrinolytic activity in horses with severe gastrointestinal (GI) disorders and altered peritoneal fluid. Methods: Two hundred and twenty-one colic horses and 15 control horses. Methods: Prospective observational clinical study. Blood and peritoneal fluid were ...
Intrinsic innervation of the horse ileum.
Research in veterinary science    April 19, 2009   Volume 87, Issue 2 177-185 doi: 10.1016/j.rvsc.2009.03.011
Chiocchetti R, Bombardi C, Mongardi-Fantaguzzi C, Venturelli E, Russo D, Spadari A, Montoneri C, Romagnoli N, Grandis A.This paper describes the morphology and distribution of the enteric nervous system (ENS) cells and fibres immunoreactive for choline acetyltransferase (ChAT), neuronal nitric oxide synthase (nNOS), substance P (SP), calcitonin gene-related peptide (CGRP), NF200kDa (NF200), and S100 protein. The percentages of subclasses of enteric neurons in the total neuronal population were investigated by the use of anti-PGP 9.5 or anti-NSE antibodies. ChAT-IR myenteric plexus (MP) and submucosal plexus (SMP) neurons were 66+/-7% and 74+/-15%, respectively, whereas those cells expressing nNOS-IR were 38+/-7...
Novel approach for detection of enteric viruses to enable syndrome surveillance of acute viral gastroenteritis.
Journal of clinical microbiology    April 1, 2009   Volume 47, Issue 6 1674-1679 doi: 10.1128/JCM.00307-09
Svraka S, van der Veer B, Duizer E, Dekkers J, Koopmans M, Vennema H.Acute gastroenteritis is one of the most common diseases worldwide, with viruses, particularly noroviruses, being the leading cause in developed countries. In The Netherlands, systematic surveillance of gastroenteritis outbreaks of suspected viral etiology was established by the National Institute for Public Health and the Environment in 1994. Since 2002, the total number of outbreaks reported has been increasing, and with that comes the need for sensitive assays that can be performed quickly. In addition, the diagnostic demand changed so that now the proportion of samples from hospitals is hi...
Strategies for reducing the complication of orthopedic pain perioperatively.
The Veterinary clinics of North America. Equine practice    February 11, 2009   Volume 24, Issue 3 611-ix doi: 10.1016/j.cveq.2008.10.008
Goodrich LR.Equine orthopedic pain management has become a growing area of interest. Its importance has been emphasized in many studies showing that better pain management results in decreased postoperative complications such as chronic pain, support-limb laminitis, gastric ulceration, and gastrointestinal disease. This review is meant for the surgeon managing orthopedic pain pre-, peri-, and postoperatively.
Epidemiologic analysis of nosocomial Salmonella infections in hospitalized horses.
Journal of the American Veterinary Medical Association    January 6, 2009   Volume 234, Issue 1 108-119 doi: 10.2460/javma.234.1.108
Ekiri AB, MacKay RJ, Gaskin JM, Freeman DE, House AM, Giguère S, Troedsson MR, Schuman CD, von Chamier MM, Henry KM, Hernandez JA.To examine the relationship between abdominal surgery and nosocomial Salmonella infections and the relationship between high caseload in combination with abdominal surgery and nosocomial Salmonella infections in hospitalized horses with signs of gastrointestinal tract disease. Methods: 140 horses. Methods: Case-control study. Methods: To accomplish the first objective, 1 to 4 control horses were matched with each nosocomial case horse on the basis of admission date of a primary case horse. The frequency of abdominal surgery and other investigated exposure factors were compared between nosocomi...
Immunohistochemical characterization and quantitative analysis of neurons in the myenteric plexus of the equine intestine.
Brain research    October 7, 2008   Volume 1244 53-64 doi: 10.1016/j.brainres.2008.09.070
Freytag C, Seeger J, Siegemund T, Grosche J, Grosche A, Freeman DE, Schusser GF, Härtig W.The present study was performed on whole-mount preparations to investigate the chemical neuroanatomy of the equine myenteric plexus throughout its distribution in the intestinal wall. The objective was to quantify neurons of the myenteric plexus, especially the predominant cholinergic and nitrergic subpopulations. Furthermore, we investigated the distribution of vasoactive intestinal polypeptide and the calcium-binding protein calretinin. Samples from different defined areas of the small intestine and the flexura pelvina were taken from 15 adult horses. After fixation and preparation of the ti...
[Frequency of diseases and injuries in the Swiss horse population].
Schweizer Archiv fur Tierheilkunde    September 10, 2008   Volume 150, Issue 8 399-408 doi: 10.1024/0036-7281.150.8.399
Knubben JM, Gygax L, Auer J, Fürst A, Staᆲher M.Through a written questionnaire, which was sent to a representatively distributed and randomly selected sample of Swiss horse owners, data of 2912 horses and ponies were acquired to extrapolate prevalence data of health disorders. General questions about the horse and associated factors of housing and use, as well as questions about the current health status and the occurrence of diseases and injuries had been asked. 718 horses (24.7% of the sample) had been examined by a veterinarian within the 12 months prior to the survey. Orthopaedic and traumatic disorders (41.5%) had the largest proporti...
Complications and survival associated with surgical compared with medical management of horses with duodenitis-proximal jejunitis.
Equine veterinary journal    August 2, 2008   Volume 40, Issue 4 373-378 doi: 10.2746/042516408X302492
Underwood C, Southwood LL, McKeown LP, Knight D.Based on clinical observation, it is hypothesised that horses with duodenitis-proximal jejunitis (DPJ) that are treated surgically have a shorter duration, smaller volume, and slower rate of nasogastric reflux (NGR) compared to horses treated medically, are more likely to develop diarrhoea than medically managed cases, and have a higher incisional infection rate than a sample population of horses undergoing abdominal exploration for gastrointestinal disease other than DPJ. Objective: To compare: 1) duration, volume and rate of NGR and the percentage of horses with diarrhoea between medically a...
Mucosal distribution of eosinophilic granulocytes within the gastrointestinal tract of horses.
American journal of veterinary research    July 3, 2008   Volume 69, Issue 7 874-879 doi: 10.2460/ajvr.69.7.874
Rötting AK, Freeman DE, Constable PD, Eurell JA, Wallig MA.To establish reference values for the range of the number of eosinophils found in equine gastrointestinal mucosa and to describe the distribution of this cell within the equine gastrointestinal mucosa. Methods: Gastrointestinal mucosal specimens from 14 adult horses euthanatized for reasons other than gastrointestinal disease. Methods: Gastrointestinal mucosal specimens were collected and grouped according to their anatomic regions. For histologic examination slides were stained with Luna's eosinophil stain to determine eosinophil accumulation and distribution. The mucosa was divided into 5 se...
Radiographic parameters for diagnosing sand colic in horses.
Acta veterinaria Scandinavica    June 13, 2008   Volume 50, Issue 1 17 doi: 10.1186/1751-0147-50-17
Kendall A, Ley C, Egenvall A, Bröjer J.Ingestion of sand can cause colic, diarrhoea and weight loss in horses, but these signs are unspecific and can have many other causes. The amount of sand that induces disease may vary between individuals. To avoid over-diagnosing, it is important to determine the amount of sand that can be found in horses without clinical signs of gastrointestinal disease. The aim of this study was to use previously suggested parameters for establishing a radiographic diagnosis of sand colic, and compare these findings between a sand colic group and a control group. Methods: Abdominal radiographs were obtained...
Prevalence of gastric ulcers in Thoroughbred broodmares in pasture: a preliminary report.
Veterinary journal (London, England : 1997)    June 3, 2008   Volume 181, Issue 3 251-255 doi: 10.1016/j.tvjl.2008.03.020
le Jeune SS, Nieto JE, Dechant JE, Snyder JR.Gastroscopic examinations were performed in 62 Thoroughbred broodmares (33 pregnant, 29 non-pregnant) at one breeding farm to investigate the prevalence of gastric ulceration. Age, pregnancy status, race earnings, last race start, herd size, medical history, number of live foals, breeding years, feed type and number of feedings were recorded, plus coat condition and body condition score were determined. Twenty-one mares were re-evaluated after foaling, and the foaling date, foal weight at birth and placenta weight were recorded. The overall prevalence of gastric ulcers was 70.9%, with a median...
Use of systemically administered lidocaine in horses with gastrointestinal tract disease.
Journal of the American Veterinary Medical Association    April 17, 2008   Volume 232, Issue 8 1144-1148 doi: 10.2460/javma.232.8.1144
Cook VL, Blikslager AT.No abstract available
Retrospective analysis of exploratory laparotomies in 192 Andalusian horses and 276 horses of other breeds.
The Veterinary record    March 11, 2008   Volume 162, Issue 10 303-306 doi: 10.1136/vr.162.10.303
Muñoz E, Argüelles D, Areste L, Miguel LS, Prades M.The medical records of 468 horses that underwent 490 exploratory laparotomies for the correction of gastrointestinal diseases were reviewed to search for differences between Andalusian horses and other breeds. The seasonal distribution of surgical colics and their outcome and complications were also investigated. Bivariant analysis was used to compare the horses' age, gender and breed with the type of surgery, the bowel affected and the type of colic, and all these variables were compared in relation to euthanasia during surgery, complications, short-term survival and seasonal distribution. A ...
Myeloperoxidase assay in plasma and peritoneal fluid of horses with gastrointestinal disease. Grulke S, Franck T, Gangl M, Péters F, Salciccia A, Deby-Dupont G, Serteyn D.Gastrointestinal disorders, especially strangulating intestinal obstructions, are still a major cause of illness and death in the horse. Circulating lipopolysaccharides may activate both neutrophils and monocytes. The activated neutrophils release myeloperoxidase (MPO), a specific enzyme with strong oxidative activity. The aim of this study was to evaluate MPO concentrations in the plasma and peritoneal fluid (PF) of horses with colic and to check the hypothesis that these concentrations would be higher in a case of strangulating obstruction than in cases of nonstrangulating disease. By using ...
Detection of Helicobacter-like DNA in the gastric mucosa of Thoroughbred horses.
Letters in applied microbiology    October 1, 2007   Volume 45, Issue 5 553-557 doi: 10.1111/j.1472-765X.2007.02227.x
Contreras M, Morales A, García-Amado MA, De Vera M, Bermúdez V, Gueneau P.To assess the presence of Helicobacter DNA in the gastric mucosa Thoroughbred horses. Results: Squamous and glandular mucosa samples were collected from 20 Thoroughbreds. None of these horses had shown any clinical symptoms of gastrointestinal disease. Necropsy tissues were analysed using histopathological techniques and a Helicobacter genus-specific PCR assay followed by sequencing of the amplicons. Seven horses were diagnosed with gastric ulceration, five with gastritis and six with both pathologies. Only two horses had a healthy gastric mucosa. Helicobacter-like DNA was detected in two out ...
Evidence-based gastrointestinal surgery in horses.
The Veterinary clinics of North America. Equine practice    July 10, 2007   Volume 23, Issue 2 267-292 doi: 10.1016/j.cveq.2007.03.005
Mair TS, Smith LJ, Sherlock CE.Colic surgery is now performed at many equine hospitals around the world. Despite the tremendous improvements in survival rates over the past 30 years, the morbidity and mortality rates remain relatively high. This fact, coupled with the high cost of treatment, makes it important to apply evidence-based medicine principles to establish the best possible treatment plans and surgical techniques whereby the outcomes can be optimized. Factors affecting survival rates and rates of major complications (incisional complications and postoperative ileus) are discussed. Preoperative assessment and posto...
Ovarian and intestinal angiomatosis in a horse.
Veterinary pathology    May 11, 2007   Volume 44, Issue 3 386-388 doi: 10.1354/vp.44-3-386
Lamm CG, Njaa BL.Dozens of red, raised nodules scattered along the serosal surface of the small intestine and the right and left ovaries were observed as incidental findings on gross examination in a 21-year-old Thoroughbred mare euthanatized for severe lameness. Histologically, these nodules were composed of numerous, variably sized, redundant vascular profiles filled with red blood cells and fibrin thrombi. Based on the presence of multiple nodules composed of benign vascular channels scattered within the small intestine and ovary, a diagnosis of angiomatosis is proposed. To the authors' knowledge, this is t...
Intra-abdominal adhesions in horses: a retrospective evaluation of repeat laparotomy in 99 horses with acute gastrointestinal disease.
Veterinary journal (London, England : 1997)    April 26, 2007   Volume 175, Issue 2 194-201 doi: 10.1016/j.tvjl.2007.02.016
Gorvy DA, Barrie Edwards G, Proudman CJ.The objectives of this study were (1) to determine the prevalence of pathological abdominal adhesion formation following exploratory laparotomy; (2) to establish the site of adhesion formation and its relationship to the initial lesion; (3) to ascertain whether the development of intra-abdominal adhesions decreases long-term survival and (4) to identify risk factors for adhesion formation. Of 1014 horses treated surgically for acute gastrointestinal disease, 113 (10.1%) were subjected to repeat laparotomy, with surgical records available for 99 of these cases. Pathological adhesions were the m...
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