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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.
Surgical treatment of colic in American miniature horses: 15 cases (1980-1987).
Journal of the American Veterinary Medical Association    July 15, 1992   Volume 201, Issue 2 329-331 
Ragle CA, Snyder JR, Meagher DM, Honnas CM.A study of 15 American miniature horses (AMH) that underwent surgical treatment for colic was performed. Information obtained from the medical records included signalment, clinical signs, type and location of gastrointestinal lesion, and postoperative complications. All 15 AMH had intraluminal obstructions, attributable to feed impactions (11 horses), enteroliths (2), and sand (2). The most common location of obstruction was the small colon, which was involved in 9 of the 15 cases. All 15 AMH survived and were discharged from the hospital. Six of the 15 AMH underwent subsequent surgical treatm...
Eosinophilic gastroenteritis with encapsulated nematodes in a horse.
Journal of the American Veterinary Medical Association    May 15, 1992   Volume 200, Issue 10 1518-1520 
Cohen ND, Loy JK, Lay JC, Craig TM, McMullan WC.A 3-year-old Quarter Horse gelding admitted for evaluation of weight loss, signs of depression, and dermatitis of the coronary bands was found to have eosinophilic gastroenteritis. Intralesional nematodes identified as Strongylus edentatus were seen in multiple microscopic sections of the small colon, suggesting a parasitic cause of the disease.
Small colon intussusception associated with an intralumenal leiomyoma in a pony.
The Veterinary record    May 2, 1992   Volume 130, Issue 18 403-404 doi: 10.1136/vr.130.18.403
Mair TS, Davies EV, Lucke VM.No abstract available
Acupuncture for gastrointestinal disorders.
Problems in veterinary medicine    March 1, 1992   Volume 4, Issue 1 144-154 
Dill SG.Acupuncture is best known for its application to various musculoskeletal pain-producing diseases. Acupuncture is, however, used for a large variety of internal medical diseases in humans and other animals. This chapter reviews some of the published literature on the use of acupuncture in gastrointestinal (GI) diseases, describes acupuncture points useful for a variety of GI diseases, briefly reviews how traditional Chinese medicine (TCM) treats GI disease, and gives some case examples of how acupuncture can be used in GI diseases.
The diagnostic value of the D-xylose absorption test in horses with unexplained chronic weight loss.
The British veterinary journal    January 1, 1992   Volume 148, Issue 1 41-44 doi: 10.1016/0007-1935(92)90065-9
Brown CM.A D-xylose absorption test was performed on 40 horses with chronic weight loss which could not be explained on history, physical findings, dietary evaluation, or initial laboratory data, i.e. unexplained weight loss. Six of the horses had D-xylose malabsorption and at post-mortem examination small intestinal lesions which accounted for the malabsorption were found in five. Five of the horses with normal absorption were examined post mortem and no lesions in any organs were found to account for the weight loss. The other 29 cases were still unexplained, and lost to follow-up.
Oral sugar tests for diagnosis of small intestinal disease.
Equine veterinary journal    September 1, 1991   Volume 23, Issue 5 325-326 doi: 10.1111/j.2042-3306.1991.tb03730.x
Batt RM.No abstract available
[Stomach ulcers in the horse–clinical and gastroscopic findings in 12 horses (1989-1990)].
Tierarztliche Praxis    August 1, 1991   Volume 19, Issue 4 386-394 
Dieckmann M, Deegen E.Twelve horses with clinical symptoms of a gastric disorder were studied by gastroscopy. Symptoms of gastric disorders were periprandial colic, bruxism, ructus and reflux. Preliminary to gastroscopy the horses were fasted for 24 h. Access to water was not restricted. The gastroscopy could be conducted easily using a fiberscope 2.5 m in length and 11 mm in outer diameter. While ulcers were present in the squamous fundus of all horses only one horse showed ulceration of the glandular fundus. Solitary ulcers near the margo plicatus were found in horses with mild clinical symptoms. In contrast, dif...
Ileal diverticulum as a cause of chronic colic in a horse.
Journal of the American Veterinary Medical Association    February 1, 1991   Volume 198, Issue 3 453-454 
Madison JB, Dreyfuss DJ, Charlton C.A 4-year-old Thoroughbred gelding with a history of chronic colic was referred for evaluation of signs of abdominal pain. Exploratory laparotomy revealed a diverticulum of the distal portion of the ileum located between the layers of the mesentery. The diverticulum was similar in location and appearance to acquired ileal diverticula described in human beings. Complete bypass of the diverticulum by ileocecostomy resulted in apparent resolution of the chronic colic in this horse.
Use of newly developed assays for protein C and plasminogen in horses with signs of colic.
American journal of veterinary research    February 1, 1991   Volume 52, Issue 2 345-351 
Welles EG, Prasse KW, Moore JN.Protein C content and plasminogen activity were measured in plasma from 100 horses with signs of colic. Data were analyzed by grouping horses 4 ways. Each horse was allotted to 1 of 2 outcome groups (survivors and nonsurvivors), 1 of 3 broad-category diagnosis groups (inflammatory disorders, strangulating obstructions, and all other gastrointestinal disorders), and 1 of 2 clinical management groups (medical and surgical). In a fourth grouping, all horses (although numbers of horses included in each subgroup were small) were assigned either to specific diagnostic groups that had high expectatio...
Emphysematous gastritis in a horse.
The Cornell veterinarian    January 1, 1991   Volume 81, Issue 1 51-58 
Weldon AD, Rowland PH, Rebhun WC.A 12-year-old Morgan gelding was examined for colic of 3 days duration. Signs of depression, colic, diarrhea, and endotoxemia persisted despite aggressive medical therapy and surgical exploration. Culture results from gastric fluid and feces yielded many colonies of Clostridium perfringens. This organism also was recovered from peritoneal fluid 10 days after admission; consequently, the horse was euthanized. At necropsy, a localized gas-filled, necrotic stomach wall was found; many mucosal and submucosal gas blebs were visible. Culture of this tissue yielded Clostridium perfringens. Emphysemat...
Displacement of the large colon associated with nonsurgical correction of large-colon entrapment in the renosplenic space in a mare.
Journal of the American Veterinary Medical Association    November 1, 1990   Volume 197, Issue 9 1190-1192 
Sivula NJ, Trent AM, Kobluk CN.Nonsurgical correction of a renosplenic entrapment of the large colon was attempted in a mare, using a rolling technique. After correction, the mare had initial improvement in clinical signs, but later developed signs of abdominal discomfort. A ventral midline celiotomy was performed, and a pelvic flexure impaction and large intestinal volvulus were found and corrected.
Alteration in intestinal morphologic features associated with extensive large-colon resection in horses.
American journal of veterinary research    September 1, 1990   Volume 51, Issue 9 1471-1475 
Bertone AL, Cockerell GL, Lee RE, Stashak TS.Light microscopy, morphometry, and scanning electron microscopy were used to examine the mucosal morphologic features of 7 intestinal specimens (3 from the small intestine; 4 from the large intestine) from each of 8 horses 1 year after sham operation (group 1; n = 3) or extensive large-colon resection (group 2; n = 5). Qualitative light microscopic examination did not reveal differences between groups, but morphometry revealed significantly (P less than 0.05) greater intercrypt area and distance in horses with colon resection and this was most pronounced in the cecum and remaining right ventra...
[Radiographic diagnosis of abdominal diseases in foals and ponys. II. Pathologic findings in 60 cases].
Tierarztliche Praxis    August 1, 1990   Volume 18, Issue 4 383-399 
Gerhards H, Klein HJ, Offeney F.A diagnostic approach based on clinical and radiographic examinations for evaluation of young foals and small ponies with acute abdominal discomfort is presented. Standing right to left lateral abdominal radiographs were taken of 54 foals and 6 ponies using a previously described technique. Interpretation of the radiographs was in conjunction with all clinical and laboratory findings and patient management. Using this approach, the site and cause of acute abdominal discomfort could be diagnosed accurately in 55 of 60 (91%) patients as confirmed by clinical, surgical or necropsy findings. Typic...
Isolation of Clostridium perfringens from foals.
Microbios    January 1, 1990   Volume 64, Issue 260-261 153-158 
Kanoe M, Inoue S, Abe T, Anzai T, Kamada M, Imagawa H, Kanemaru T.Clostridium perfingens was isolated from four of 29 healthy foals and from all twelve foals with gastrointestinal diseases. The range of viable counts of C. perfringens in the faeces was 10(1)-10(5)/g and in the intestinal specimens 10(1)-10(7)/g. Of 41 isolates of C. perfringens, 37 were considered to be type A. Enterotoxin of the organism was demonstrated in the intestinal contents of five of eight foals with enteric diseases. These findings suggested that C. perfringens is a likely pathogen of foal intestinal diseases.
Equine myenteric ganglionitis: a case of chronic intestinal pseudo-obstruction.
The Cornell veterinarian    January 1, 1990   Volume 80, Issue 1 53-63 
Burns GA, Karcher LF, Cummings JF.A 4-year-old Standardbred mare was referred to the New York State College of Veterinary Medicine for colic evaluation. Physical examination revealed a small colon impaction which initially responded to conservative medical management. Her signs soon recurred, however, and an exploratory celiotomy was recommended. At surgery the small colon impaction was confirmed. The impaction was evacuated and a surgical biopsy was submitted for histopathologic evaluation. Microscopic examination of H&E and Trichrome sections revealed a massive mononuclear cell infiltration of the myenteric plexus. In additi...
Retrospective evaluation of repeat celiotomy in 53 horses with acute gastrointestinal disease.
Veterinary surgery : VS    November 1, 1989   Volume 18, Issue 6 424-431 doi: 10.1111/j.1532-950x.1990.tb01118.x
Parker JE, Fubini SL, Todhunter RJ.Fifty-three of 648 horses (8.2%) treated surgically for acute gastrointestinal obstruction were subjected to repeat celiotomy. Forty horses (75%) recovered from anesthesia after repeat celiotomy, and 26 horses (49%) were discharged from the clinic. Excluding two horses lost to follow-up, 10 of 51 horses (20%) survived long term. Horses subjected to repeat celiotomy had a significantly lower long-term survival rate than horses subjected to a single celiotomy. Twenty-eight horses had mechanical obstructions, and 22 had functional obstructions at the second surgery. Significantly more horses with...
Determination of intestinal viability.
The Veterinary clinics of North America. Equine practice    August 1, 1989   Volume 5, Issue 2 295-307 doi: 10.1016/s0749-0739(17)30590-4
Wolfman EF.Operations for intestinal ischemia are frequently done by veterinarians. In equine surgery those conditions commonly producing ischemia are intussusception, volvulus, bowel obstructions, and incarcerated hernias. In an attempt to predict intraoperative bowel viability after the restoration of circulation, a variety of adjuvant methods have been investigated. There is little question that of the techniques currently available, sodium fluorescein injected intravenously approaches the ideal in predicting nonviability in humans and in most animal models. Furthermore, it is safe, takes little opera...
Surgical diseases of the equine cecum.
The Veterinary clinics of North America. Equine practice    August 1, 1989   Volume 5, Issue 2 363-375 doi: 10.1016/s0749-0739(17)30594-1
Ross MW.Cecal impaction and cecal perforation, the two most common equine cecal diseases, are thought to develop after slowing or interruption of a single progressive motility pattern, which begins in a pacemaker area near the apex, occurs once every 3 minutes, and propels ingesta from the cecum to the right ventral colon. Rectal examination in horses with cecal impaction is the most useful technique to grade the severity of the condition. Medical treatment is undertaken if the impaction is judged to be mild to moderate. Surgical correction of cecal impaction in severe cases requires a ventral midline...
Effects of pharmacological agents on gastrointestinal motility.
The Veterinary clinics of North America. Equine practice    August 1, 1989   Volume 5, Issue 2 283-294 doi: 10.1016/s0749-0739(17)30589-8
Gerring EL.The control mechanisms of gastrointestinal motility are complex. Extrinsic neurohormonal effects modulate an intrinsic system, often called the "gut brain," composed of nervous and neuropeptide components. To exert pharmacologic influence on GI motility, use is made of agents that mimic the external control system. Agents that stimulate opioid receptors, block adrenoceptors, block or facilitate acetylcholine action, or antagonize the action of prostaglandins are used to effect changes in GI motility. The major indications for pharmacologic intervention are to increase motility in constipation,...
A device and technique for gastrointestinal lavage in the horse.
Equine veterinary journal. Supplement    June 1, 1989   Issue 7 94-97 doi: 10.1111/j.2042-3306.1989.tb05665.x
Beroza GA.A device and technique for intra-operative gastro-intestinal lavage was developed to remove ingesta from the stomach, large intestine and caecum of horses. The Gastro-Intestinal Lavage System (GILS) is composed of a nozzle connected to both water under pressure and suction. Water jets across an intake portal in the nozzle, breaks up food and debris within the nozzle and is evacuated under negative pressure into the aspirating tube which is connected to a collection drum. The GILS nozzle was introduced at the pelvic flexure through a sterile enterotomy cuff and plastic sleeve. Water was first a...
Gastric ulcers in horses: a comparison of endoscopic findings in horses with and without clinical signs.
Equine veterinary journal. Supplement    June 1, 1989   Issue 7 68-72 doi: 10.1111/j.2042-3306.1989.tb05659.x
Murray MJ, Grodinsky C, Anderson CW, Radue PF, Schmidt GR.Gastroendoscopic examinations were performed on 187 horses, ranging from one to 24 years. Eighty-seven horses had clinical problems including chronic, recurrent colic for seven or more days (25), one or more episodes of colic within the previous seven days (13), or acute colic (10), diminished appetite (53), poor bodily condition (40), and/or chronic diarrhoea (9). One hundred horses that had no signs of gastrointestinal problems were examined as part of a gastroendoscopic survey. Lesions observed in the squamous fundus, squamous mucosa adjacent to the margo plicatus along the greater curvatur...
Antibody titres to core lipopolysaccharides in horses with gastrointestinal disorders which cause colic.
Equine veterinary journal. Supplement    June 1, 1989   Issue 7 29-32 doi: 10.1111/j.2042-3306.1989.tb05651.x
Morris DD, Moore JN.Serum immunoglobulin (Ig) titres to core lipopolysaccharide (LPS) were determined in 102 horses admitted to a university referral hospital during a 12-month period for evaluation of colic. Serum samples were collected again 10-14 days later from 84 of the horses. Titres to core LPS were quantitated by an indirect enzyme-linked immunosorbent assay (ELISA), utilising the J-5 mutant of Escherichia coli 0111:B4 as the solid-phase antigen. All horses had natural antibodies to core LPS at the time of admission and the titre was not affected significantly by age, sex or type of gastrointestinal disor...
Plasma endotoxin concentrations in experimental and clinical equine subjects.
Equine veterinary journal. Supplement    June 1, 1989   Issue 7 24-28 doi: 10.1111/j.2042-3306.1989.tb05650.x
Fessler JF, Bottoms GD, Coppoc GL, Gimarc S, Latshaw HS, Noble JK.Endotoxin (LPS) was quantitated in experimental subjects and in horses with naturally occurring gastrointestinal strangulation obstruction and/or septicaemic diseases to establish the fate of LPS and the clinical usefulness of the Limulus amoebocyte lysate (LAL) assay. The assay was validated for sensitivity (10 pg/ml), recovery (90 to 106 per cent), intra-assay precision (CV = 5.5 per cent) inter-assay precision (CV = 11 per cent), and stability of diluted, heat treated, frozen samples (at least 90 days). Plasma concentrations of LPS after sublethal (3 micrograms/kg) jugular or portal vein bo...
Surgical management of duodenal obstruction in an adult horse.
Journal of the American Veterinary Medical Association    May 1, 1989   Volume 194, Issue 9 1312-1314 
Ross MW, Bernard WV, Orsini PG, Ford TS.A 3-year-old Standardbred stallion was admitted for treatment of acute enterocolitis. The horse improved in response to empiric treatment, but subsequently developed ventral edema, scrotal abscessation, and severe laminitis. Improvement again was seen, but on day 29 of hospitalization, the horse developed rapid heart rate and signs of abdominal pain. Exploratory celiotomy revealed complete obstruction of the descending portion of the duodenum, 20 cm caudal to the duodenal sigmoidal flexure. Three-tier duodenojejunostomy and jejunojejunostomy were performed to bypass the duodenal obstruction.
Caecal intussusceptions in horses and the significance of Anoplocephala perfoliata.
The Veterinary record    January 14, 1989   Volume 124, Issue 2 34-37 doi: 10.1136/vr.124.2.34
Owen RA, Jagger DW, Quan-Taylor R.A caecocaecal intussusception in a pony and a caecocolic intussusception in a horse, both infected with Anoplocephala perfoliata, are described and the relevance of tapeworms in such intestinal disease of horses is reviewed.
Abdominal auscultation in the detection of experimentally induced gastrointestinal sand accumulation.
Journal of veterinary internal medicine    January 1, 1989   Volume 3, Issue 1 12-14 doi: 10.1111/j.1939-1676.1989.tb00322.x
Ragle CA, Meagher DM, Schrader JL, Honnas CM.A blind study was designed to determine if abdominal auscultation is an effective method for detecting the presence of intestinal sand. Fifteen horses divided into two groups were used in the study. There were seven horses in Group 1 and eight horses in Group 2. All horses were auscultated and determined to be free of sand sounds before initiation of Trial 1. Group 1 horses were given 4.2 g/kg body weight of sand via nasogastric tube using carboxymethylcellulose (CMC) as a suspending agent at 9.0 ml/kg body weight. Group 2 horses were given CMC only. Horses remained in the same group through a...
Gastric hyperplastic polyp in a horse.
Journal of comparative pathology    October 1, 1988   Volume 99, Issue 3 337-342 doi: 10.1016/0021-9975(88)90054-0
Morse CC, Richardson DW.An unusually large, pedunculated (20 cm long) mass arising the gastric pylorus which produced complete obstruction of the proximal duodenum and severe gastric distension was found in a 13-year old castrated male Arabian horse. The histological diagnosis was gastric hyperplastic polyp, which has not been reported previously in the horse. The clinico-pathological findings in this horse are compared with hyperplastic (inflammatory) gastric polyps of man.
Multiple cannulation of the large intestine of the horse.
The British veterinary journal    September 1, 1988   Volume 144, Issue 5 449-454 doi: 10.1016/0007-1935(88)90085-1
Simmons HA, Ford EJ.No abstract available
Ovarian strangulation as a cause of small colon obstruction in a foal.
Equine veterinary journal    May 1, 1988   Volume 20, Issue 3 217-218 doi: 10.1111/j.2042-3306.1988.tb01503.x
Evard JH, Fischer AT, Greenwood LD.No abstract available
Examination of the horse with colic.
The Veterinary clinics of North America. Equine practice    April 1, 1988   Volume 4, Issue 1 1-15 doi: 10.1016/s0749-0739(17)30646-6
Bonfig H.The purpose of this detailed description of the clinical examination of the colic patient is to arrive at a specific diagnosis. However, this is hardly ever possible, but the practitioner should be in the position to establish the suspicion of an intestinal obstruction or to rule out its presence during the course of the development. Single clinical findings should not be interpreted in isolation but in relation to one another, so that a false diagnosis is not made. All clinical findings should be documented, so that when repeated examinations are carried out, findings can be compared with one...
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