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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.
Heart rate variability in horses with acute gastrointestinal disease requiring exploratory laparotomy.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    August 10, 2015   Volume 26, Issue 2 269-280 doi: 10.1111/vec.12362
McConachie EL, Giguère S, Rapoport G, Barton MH.To describe heart rate variability (HRV) in horses with acute gastrointestinal disease that undergo exploratory laparotomy. We hypothesized that horses with ischemic gastrointestinal disease will have reduced HRV compared to horses with nonischemic lesions. We further hypothesized that a reduction in HRV will be associated with nonsurvival. Methods: Prospective, clinical, observational study. Methods: University veterinary teaching hospital. Methods: Horses presented for acute colic (n = 57) or elective surgical procedures (n = 10) were enrolled. Methods: Admission heart rate (HR) was recorded...
Prevalence, intensity and risk factors of infestation with major gastrointestinal nematodes in equines in and around Shashemane, Southern Ethiopia.
Tropical animal health and production    July 24, 2015   Volume 47, Issue 8 1515-1521 doi: 10.1007/s11250-015-0893-5
Seyoum Z, Tesfaye M, Derso S.Prevalence, intensity and risk factors of major gastrointestinal nematode infestation in equines were studied through a cross-sectional survey in 384 equids from October 2013 to April 2014 in and around Shashemane, southern Ethiopia. Three hundred and fifteen equids (82 %) were demonstrated harbouring one or more gastrointestinal (GIT) nematodes using the faecal flotation technique. The prevalence of GIT nematode infestation was 73.4, 85 and 86.5 % for horses, mules and donkeys, respectively. The identified nematodes were strongyle type (73.4 %), Parascaris equorum (21.4 %) and Oxyuris equ...
Systemic leukopenia, evaluation of laminar leukocyte infiltration and laminar lesions in horses with naturally occurring colic syndrome.
Research in veterinary science    June 5, 2015   Volume 101 15-21 doi: 10.1016/j.rvsc.2015.05.014
Laskoski LM, Locatelli-Dittrich R, Valadão CA, Deconto I, Gonçalves KA, Montiani-Ferreira F, Brum JS, de Brito HF, de Sousa RS.The present study was aimed at identifying laminar lesions and leukocyte infiltration in hoof laminar tissue of horses with colic syndrome and its correlation with the total leukocyte count before death. Six healthy horses were used as control group (CG), and eighteen horses with lethal gastrointestinal disease were divided into two groups: leukopenic group (LG) with seven leukopenic horses, and non-leukopenic group (NLG) with 11 horses with total leukocyte count within reference range for the species. Leukocyte infiltration was examined by immunohistochemistry. Laminar lesions were observed i...
A novel pore-forming toxin in type A Clostridium perfringens is associated with both fatal canine hemorrhagic gastroenteritis and fatal foal necrotizing enterocolitis.
PloS one    April 8, 2015   Volume 10, Issue 4 e0122684 doi: 10.1371/journal.pone.0122684
Mehdizadeh Gohari I, Parreira VR, Nowell VJ, Nicholson VM, Oliphant K, Prescott JF.A role for type A Clostridium perfringens in acute hemorrhagic and necrotizing gastroenteritis in dogs and in necrotizing enterocolitis of neonatal foals has long been suspected but incompletely characterized. The supernatants of an isolate made from a dog and from a foal that died from these diseases were both found to be highly cytotoxic for an equine ovarian (EO) cell line. Partial genome sequencing of the canine isolate revealed three novel putative toxin genes encoding proteins related to the pore-forming Leukocidin/Hemolysin Superfamily; these were designated netE, netF, and netG. netE a...
Suspected acorn toxicity in nine horses.
Equine veterinary journal    October 7, 2014   Volume 47, Issue 5 568-572 doi: 10.1111/evj.12306
Smith S, Naylor RJ, Knowles EJ, Mair TS, Cahalan SD, Fews D, Dunkel B.Acorn toxicity has been anecdotally reported to cause fatal colitis and colic in horses but reports in the scientific literature are sparse. Objective: This study reports the diagnosis, treatment, prognosis and outcome of 9 cases with suspected acorn toxicity admitted to 2 referral hospitals. Methods: Retrospective case series. Methods: Case records from 2004 to 2013 were reviewed. Horses were included in the study if they met 3 of 4 criteria: exposure to acorns; clinical and laboratory data suggesting alimentary or renal dysfunction; acorn husks in the faeces or gastrointestinal tract; and ne...
Probiotic use in horses – what is the evidence for their clinical efficacy?
Journal of veterinary internal medicine    September 17, 2014   Volume 28, Issue 6 1640-1652 doi: 10.1111/jvim.12451
Schoster A, Weese JS, Guardabassi L.The gastrointestinal microbiota is extremely important for human and animal health. Investigations into the composition of the microbiota and its therapeutic modification have received increasing interest in human and veterinary medicine. Probiotics are a way of modifying the microbiota and have been tested to prevent and treat diseases. Probiotics are proposed to exert their beneficial effects through various pathways. Production of antimicrobial compounds targeting intestinal pathogens, general immune stimulation, and colonization resistance are among these mechanisms. Despite widespread ava...
Equine gastric ulceration syndrome: treatment and prevention.
The Veterinary record    August 12, 2014   Volume 175, Issue 6 145-146 doi: 10.1136/vr.g4613
Sutton D.No abstract available
The effect of colloid formulation on colloid osmotic pressure in horses with naturally occurring gastrointestinal disease.
BMC veterinary research    July 7, 2014   Volume 10 Suppl 1, Issue Suppl 1 S8 doi: 10.1186/1746-6148-10-S1-S8
Bellezzo F, Kuhnmuench T, Hackett ES.Naturally occurring gastrointestinal disease is an important cause of acute hypoproteinemia in adult horses and hydroxyethyl starch colloid fluid treatment is a component of supportive care in these cases to improve plasma volume and maintain colloid osmotic pressure (COP). The objectives of the present study were to compare 2 formulations of high molecular weight hydroxyethyl starch and their relative effect on COP, acid-base status, and survival of horses with acute hypoproteinemia secondary to gastrointestinal disease. Methods: Twenty adult horses, ≥ 1 year of age, were prospectively enro...
Identification, management and outcome of postoperative hemoperitoneum in 23 horses after emergency exploratory celiotomy for gastrointestinal disease.
Veterinary surgery : VS    July 5, 2014   Volume 44, Issue 3 379-385 doi: 10.1111/j.1532-950X.2014.12236.x
Gray SN, Dechant JE, LeJeune SS, Nieto JE.To investigate postoperative hemoperitoneum in a population of horses that had surgery for colic. Methods: Retrospective case series. Methods: Horses (n = 23). Methods: Preoperative, intraoperative, and postoperative information was obtained from medical records (1985-2012) of horses with postoperative hemoperitoneum after emergency exploratory celiotomy. Pre-existing hemoperitoneum during surgery and nonsurgical hemoperitoneum were excluded. Results: Of 4520 horses that had emergency exploratory celiotomy for gastrointestinal disease, 23 horses met inclusion criteria; an incidence of 0.5%. Ho...
Efficacy of a pectin-lecithin complex for treatment and prevention of gastric ulcers in horses.
The Veterinary record    May 12, 2014   Volume 175, Issue 6 147 doi: 10.1136/vr.102359
Sanz MG, Viljoen A, Saulez MN, Olorunju S, Andrews FM.The objective of this study was to evaluate the effect of a commercial feed supplement containing pectin-lecithin on squamous mucosa ulceration in horses exposed to an experimental ulceration model. Five mares were treated while five mares were controls for this crossover, blinded study. The mares were fed concentrates and hay and were stabled with a two-hour turn out per day for a period of four weeks. The pectin-lecithin complex was fed for the duration of the study on the treated group. At the end of a four-week period, all mares underwent a seven-day alternating feed deprivation (week 5). ...
Colonic gastrointestinal stromal tumor resulting in recurrent colic and hematochezia in a warmblood gelding.
The Canadian veterinary journal = La revue veterinaire canadienne    May 3, 2014   Volume 55, Issue 5 471-474 doi: 10.1016/j.vetmic.2013.03.032
Malberg JA, Webb BT, Hackett ES.A 14-year-old Trakehner gelding was evaluated for recurrent colic, with episodes occurring over 1 year. Signs were consistent with intermittent ascending colon obstruction and hematochezia. Necropsy examination revealed an ulcerated mass extending into the lumen of the right dorsal ascending colon. Gross and histologic appearance and immunoreactivity to c-kit (CD117), desmin, vimentin, and smooth muscle actin, were consistent with a diagnosis of gastrointestinal stromal tumor. Tumeur ventrale gastro-intestinale du côlon produisant des coliques et de l’hématochézie et des coliques récurre...
Serum metabolomics identifies citrulline as a predictor of adverse outcomes in an equine model of gut-derived sepsis.
Physiological genomics    March 11, 2014   Volume 46, Issue 10 339-347 doi: 10.1152/physiolgenomics.00180.2013
Steelman SM, Johnson P, Jackson A, Schulze J, Chowdhary BP.Acute laminitis is an inflammatory disease of the equine foot that often occurs secondarily to sepsis or systemic inflammation associated with gastrointestinal disease. It has been suggested that laminitis is similar to multiple organ dysfunction syndrome in humans, although in horses the weight-bearing laminar epithelium of the foot appears to be the tissue most sensitive to insult and the first "organ" to fail. Metabolomics performed on serum samples collected before (Con) and after (Lmn) experimental induction of gastrointestinal-associated sepsis in six horses detected 1,177 metabolites of...
Monitoring equine visceral pain with a composite pain scale score and correlation with survival after emergency gastrointestinal surgery.
Veterinary journal (London, England : 1997)    January 11, 2014   Volume 200, Issue 1 109-115 doi: 10.1016/j.tvjl.2014.01.003
van Loon JP, Jonckheer-Sheehy VS, Back W, van Weeren PR, Hellebrekers LJ.Recognition and management of equine pain have been studied extensively in recent decades and this has led to significant advances. However, there is still room for improvement in the ability to identify and treat pain in horses that have undergone emergency gastrointestinal surgery. This study assessed the validity and clinical application of the composite pain scale (CPS) in horses after emergency gastrointestinal surgery. Composite pain scores were determined every 4h over 3 days following emergency gastrointestinal surgery in 48 horses. Inter-observer reliability was determined and another...
Dark-field microscopy in the assessment of large colon microperfusion and mucosal injury in naturally occurring surgical disease of the equine large colon.
Equine veterinary journal    January 3, 2014   Volume 46, Issue 6 674-680 doi: 10.1111/evj.12202
Hurcombe SD, Welch BR, Williams JM, Cooper ES, Russell D, Mudge MC.Intraoperative assessment of colonic viability can be challenging and largely subjective. Objective methods are often impractical. Viability is related to re-establishment of colonic perfusion; particularly microvascular perfusion. This study evaluated the utility of dark-field microscopy (DFM) of the colonic serosa as an objective method of assessing microperfusion. Objective: To measure microvascular perfusion indices (MPI) of the pelvic flexure serosa in horses with surgical colonic lesions and correlate these with macroperfusion indices (MaPI) and histomorphometry. Methods: Prospective, cl...
Measurement of Carbonic Anhydrase I and II Isozymes in Feces as a Marker of Occult Blood in Horses with Intestinal Tract Bleeding.
Journal of equine science    December 27, 2013   Volume 24, Issue 4 57-62 doi: 10.1294/jes.24.57
Nishita T, Anezaki R, Matsunaga K, Orito K, Kasuya T, Sakanoue H, Matsunaga A, Arishima K.Although endoscopy is the definitive diagnostic method for the detection of colonic ulcers, the equipment required for performing the test is costly and difficult to use. Therefore, a simple cost-effective and reliable screening test for intestinal tract bleeding is needed. To this end, we measured carbonic anhydrase isozymes (CA-I and CA-II) originating from erythrocytes by ELISA in order to determine if they could be used as markers of occult blood in feces. For fecal extract preparation, 2 g of feces were mixed with 4 ml of 0.01 M Tris-HCl (pH 8.0) containing 0.01% thimerosal. The concentra...
In vitro comparison of V-Loc™ versus Biosyn™ in a one-layer end-to-end anastomosis of equine jejunum.
Veterinary surgery : VS    November 20, 2013   Volume 43, Issue 1 80-84 doi: 10.1111/j.1532-950X.2013.12081.x
Nelson BB, Hassel DM.To compare a unidirectional barbed suture (V-Loc™) to its suture material equivalent (Biosyn™) in a single-layer end-to-end anastomosis of equine jejunum. Methods: Experimental in vitro study. Methods: Jejunal sections from adult horses (n = 5) without gastrointestinal disease. Methods: Jejunal end-to-end anastomoses (n = 9) were performed for each group (V-Loc™, Biosyn™) with a continuous Lembert pattern with an interruption every 120°. Anastomosis construction time, luminal diameter, and number of suture bites were recorded. Anastomosis constructs were distended with fluid at 1 L/mi...
Severe gastric impaction secondary to a gastric polyp in a horse.
The Canadian veterinary journal = La revue veterinaire canadienne    October 25, 2013   Volume 54, Issue 10 979-982 
Furness MC, Snyman HN, Abrahams M, Moore A, Vince A, Anderson ME.A 13-year-old Percheron gelding was presented for refractory gastric impaction. At necropsy a pedunculated 10 cm × 11 cm × 14 cm mass, histologically identified as an inflammatory polyp, was suspected to have been partly obstructing the pylorus. This is the first report of a polyp resulting in gastric outflow obstruction in a horse. Un hongre Percheron âgé de 13 ans a été présenté pour une surcharge gastrique réfractaire. À la nécropsie, une masse pédonculée de 10 cm × 11 cm × 14 cm, identifiée à l’histologie comme un polype inflammatoire, a été soupçonnée d’avoir par...
Serial viscoelastic and traditional coagulation testing in horses with gastrointestinal disease.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    September 12, 2013   Volume 23, Issue 5 504-516 doi: 10.1111/vec.12095
Epstein KL, Brainard BM, Giguere S, Vrono Z, Moore JN.Objectives of this study were to compare the ability of serial thromboelastography, Sonoclot, and traditional coagulation panels to detect coagulopathies associated with disease category, systemic inflammatory response syndrome (SIRS), complications, and nonsurvival in horses with gastrointestinal disease. Methods: Prospective clinical evaluation. Methods: University referral hospital. Methods: One hundred twenty-one horses admitted as emergencies for gastrointestinal disease and 28 healthy adult horses. Methods: Blood samples were collected ≤4 times from emergency horses (admission and if s...
An investigation of the role of soluble CD14 in hospitalized, sick horses.
Veterinary immunology and immunopathology    August 26, 2013   Volume 155, Issue 4 264-269 doi: 10.1016/j.vetimm.2013.08.007
Silva A, Wagner B, McKenzie HC, Desrochers AM, Furr MO.The objectives of this study were to (1) evaluate the effects of equine soluble CD14 (sCD14) and monoclonal antibodies (mAb) to equine CD14 on lipopolysaccharide-induced tumor necrosis factor α (TNF-α) secretion from equine peripheral blood mononuclear cells (PBMC); and to (2) determine serum concentrations of sCD14 in a population of horses with gastrointestinal diseases or other illnesses likely to result in endotoxemia. Equine PBMC isolated from 10 healthy horses were incubated with Escherichia coli LPS plus CD14 mAb or sCD14 and assayed for TNF-α activity. Pre-incubation with CD14 mAb d...
Brunner’s gland hyperplasia and adenoma associated with colic in an aged Arabian mare.
Journal of veterinary internal medicine    May 16, 2013   Volume 27, Issue 4 777-781 doi: 10.1111/jvim.12106
Kullmann A, Schott HC, Cook VL, Smedley RC.No abstract available
Epidemic of equine coronavirus at Obihiro Racecourse, Hokkaido, Japan in 2012.
The Journal of veterinary medical science    May 1, 2013   Volume 75, Issue 9 1261-1265 doi: 10.1292/jvms.13-0056
Oue Y, Morita Y, Kondo T, Nemoto M.Equine coronavirus (ECoV) outbreaks have occurred three times at Obihiro Racecourse in Hokkaido, Japan. The third ECoV outbreak occurred between late February and early April 2012. The main clinical signs of affected horses were anorexia, pyrexia and leucopenia; gastrointestinal disease was observed in about 10% of affected horses. Two ECoV strains were isolated from diarrheal samples. All paired sera (9/9) collected from febrile horses showed seroconversion by neutralization test. Sequence and phylogenetic analysis of the ECoV isolated showed that putative amino acid sequences in S and N gene...
A report of left dorsal displacement of the large colon in a tropical horse.
Asian Pacific journal of tropical biomedicine    April 27, 2013   Volume 3, Issue 4 325-329 doi: 10.1016/S2221-1691(13)60072-6
Sasani F, Javanbakht J, Ghamsari M, Hassan MA.We report one such case which was diagnosed intraoperatively as left dorsal colon volvulus due to multiple mesenteric abnormalities. A 17-year-old castrated male horse was taken to the Tehran University Veterinary Hospital for treatment of metacarpal wound accompanied by severe abdominal distension and acute colic. The treatment and measurement were taken for a month, and the prepared biopsy indicated that the healing trend was obvious. Unfortunately, prior to discharge, the clinical colic manifestations emerged and the animal suddenly died. Dilated large intestine was palpated per rectum and ...
[Examination of horses with acute colic – clinical pathology and diagnostic imaging].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    April 24, 2013   Volume 41, Issue 2 124-135 
Cavalleri JM, Bienert-Zeit A, Feige K.The article summarizes the relevant clinical pathological assessment of horses with acute colic. A minimal laboratory evaluation should include the patient's haematocrit (or packed cell volume), total protein, and lactate concentration in the blood. Haematocrit and total protein provide an indication of the severity of dehydration (haematocrit < 0.45 l/l is evidence of no to mild dehydration whereas > 0.5 l/l points to a severe dehydration). The degree of dehydration is often associated with the severity of the colic. Additionally, the blood lactate concentration rises with increasing intesti...
Blood lactate concentrations in ponies and miniature horses with gastrointestinal disease.
Equine veterinary journal    March 4, 2013   Volume 45, Issue 6 666-670 doi: 10.1111/evj.12043
Dunkel B, Kapff JE, Naylor RJ, Boston R.Clinical impression suggested that pony and miniature breeds (collectively referred to as ponies) presenting to a referral hospital for investigation of gastrointestinal disease had higher blood lactate concentrations on admission than large breed horses. Objective: The study tested the hypothesis that ponies with gastrointestinal disease had higher blood lactate concentrations on admission than large breed horses with similar disease severity. Methods: Retrospective case-control study. Methods: Medical records from September 2006 to July 2011 were reviewed for ponies with a primary presenting...
Pathological evidence of pancreatitis in 43 horses (1986-2011).
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 45-50 doi: 10.1111/j.2042-3306.2012.00636.x
Yamout SZ, Nieto JE, Anderson J, De Cock HE, Vapniarsky N, Aleman M.Definitive ante mortem diagnosis of pancreatitis in horses is difficult. Reports summarising the most common clinical signs, clinicopathological features and concurrent disorders in horses with a definitive diagnosis of pancreatitis that may aid in the recognition of disease are lacking. Objective: To describe case details, clinical signs, clinicopathological data and necropsy findings in horses with a definitive diagnosis of pancreatitis. Methods: This was a retrospective study (1986-2011) and inclusion criteria consisted of horses with a definitive diagnosis of pancreatitis. A medical record...
Surgical treatment for acute small intestinal obstruction caused by Parascaris equorum infection in 15 horses (2002-2011).
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 111-114 doi: 10.1111/j.2042-3306.2012.00607.x
Tatz AJ, Segev G, Steinman A, Berlin D, Milgram J, Kelmer G.There is a consensus in the veterinary literature that Parascaris equorum (ascarid) impaction carries a poor prognosis. Hence surgery is often delayed and foals are often subjected to euthanasia after diagnosis of ascarid impaction is established. Our clinical impression was that ascarid impaction carries a better prognosis than previously reported. Objective: Our expectation was that manually evacuating the impaction into the caecum, thus refraining from opening the small intestine, would improve the prognosis for survival of horses with ascarid impaction. The aim of this study was to examine...
Anesthesia for the horse with colic.
The Veterinary clinics of North America. Equine practice    January 18, 2013   Volume 29, Issue 1 193-214 doi: 10.1016/j.cveq.2012.11.005
Boesch JM.This article discusses anesthesia for horses with colic from acute gastrointestinal disease. Emphasis is placed on new developments in pre-, intra-, and immediate postoperative management over the last decade, including early goal-directed therapy (EGDT) in the resuscitation of septic patients, the controversy over the optimal fluid type to administer, and the management of complications, such as cardiovascular depression, hypoventilation and hypoxemia, and decreased colloid oncotic pressure (COP). An update on analgesia is also provided; older drugs such as ketamine and lidocaine are increasi...
Improving the diagnosis of equine colic.
The Veterinary record    December 25, 2012   Volume 171, Issue 25 636 doi: 10.1136/vr.e8562
No abstract available
Thrombelastographic characterization of coagulation/fibrinolysis in horses: role of carboxyheme and metheme states.
Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis    December 12, 2012   Volume 24, Issue 3 273-278 doi: 10.1097/MBC.0b013e32835bfd6e
Olver CS, Nielsen VG.Carboxyheme and metheme states modulate hemostasis in humans and other species. Further, carbon monoxide and/or nitric oxide production increase in inflammatory disorders involving the gastrointestinal tract, with associated hypercoagulability or hypocoagulability. In particular, the horse suffers both thrombotic or coagulopathic complications during acute gastrointestinal disease. This investigation characterized the thrombelastographic response to carboxyheme (via CORM-2) or metheme (via phenylhydroxylamine, PHA) states without/with addition of tissue type plasminogen activator. Citrated pla...
Comparison of single layer staple closure versus double layer hand-sewn closure for equine pelvic flexure enterotomy.
The Canadian veterinary journal = La revue veterinaire canadienne    December 4, 2012   Volume 53, Issue 6 665-669 
Rosser JM, Brounts S, Livesey M, Wiedmeyer K.Our objective was to compare thoracoabdominal (TA Premium™ 90) stapled enterotomy closure to traditional hand-sewn closure, using time to perform the technique, luminal diameter, and bursting pressure in ex-vivo specimens. The pelvic flexures of 13 client-owned horses were harvested. Each pelvic flexure had 1 enterotomy performed; 6 were closed via staples, 7 closures were hand-sewn. Luminal diameter at the enterotomy site was assessed via contrast radiography performed pre-and post-enterotomy. Bursting pressure of the closure was assessed by continuous manometry during rapid infusion. Time ...
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