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Topic:Gastrointestinal Health

Gastrointestinal health in horses encompasses the study of the structure, function, and disorders of the equine digestive system. The equine gastrointestinal tract is complex, consisting of the stomach, small intestine, cecum, and large intestine, each playing a specific role in digestion and nutrient absorption. Research in this area often focuses on common disorders such as colic, gastric ulcers, and parasitic infections, which can impact a horse's overall health and performance. Investigations examine factors affecting gastrointestinal health, including diet, management practices, and the microbiome. This page compiles peer-reviewed research studies and scholarly articles that explore the physiology, pathology, and management of gastrointestinal health in horses.
Bisphosphonate use in the horse: what is good and what is not?
BMC veterinary research    June 24, 2019   Volume 15, Issue 1 211 doi: 10.1186/s12917-019-1966-x
Mitchell A, Watts AE, Ebetino FH, Suva LJ.Bisphosphonates (BPs) are a family of molecules characterized by two key properties: their ability to bind strongly to bone mineral and their inhibitory effects on mature osteoclasts and thus bone resorption. Chemically two groups of BPs are recognized, non-nitrogen-containing and nitrogen-containing BPs. Non-nitrogen-containing BPs incorporate into the energy pathways of the osteoclast, resulting in disrupted cellular energy metabolism leading to cytotoxic effects and osteoclast apoptosis. Nitrogen-containing BPs primarily inhibit cholesterol biosynthesis resulting in the disruption of intrac...
Girthiness: Retrospective Study of 37 Horses (2004-2016).
Journal of equine veterinary science    June 8, 2019   Volume 79 100-104 doi: 10.1016/j.jevs.2019.05.025
Millares-Ramirez EM, Le Jeune SS.Girth aversion or girthiness is a nonspecific clinical sign anecdotally associated with multiple conditions in the horse (behavioral problems, gastric ulcers, back pain); however, studies have not been conducted to definitively correlate this clinical sign to specific pathologies. This retrospective study aims to describe the clinical signs and final diagnoses of 37 horses evaluated at the University of California, Davis with a presenting complaint of girthiness. Medical records of all horses presented to the veterinary hospital between 2004 and 2016 for girthiness were reviewed. Twelve horses...
Effect of fentanyl on thermal and mechanical nociceptive thresholds in horses and estimation of anti-nociceptive plasma concentration.
Veterinary journal (London, England : 1997)    May 31, 2019   Volume 249 82-88 doi: 10.1016/j.tvjl.2019.05.012
Echelmeyer J, Taylor PM, Hopster K, Rohn K, Delarocque J, Kästner SBR.There are few investigations relating anti-nociception to plasma concentrations of fentanyl in horses. The study objective was to evaluate analgesic efficacy and duration in horses and determine the minimum anti-nociceptive plasma concentrations. Eight horses were treated with saline (P) and fentanyl (F=2.5μg/kg; F=5μg/kg; F=10μg/kg) given IV over 5min, with a wash-out period of 10 days. To evaluate thermal (°C) and mechanical (N) nociceptive threshold single stimulations were applied prior to (baseline) and 10, 30, 60, 90, 120, 180, 240, 300, 360, 420, 540min and 22.5h after treatment. Pl...
Hair cortisol concentration is inversely related to the severity of equine squamous gastric disease.
Veterinary journal (London, England : 1997)    May 24, 2019   Volume 249 58-59 doi: 10.1016/j.tvjl.2019.05.009
Prinsloo M, Hynd P, Franklin S, Weaver S, van den Boom R.Equine squamous gastric disease (ESGD) is common in horses and many factors, including stress, may play a role in lesion development. Hair cortisol concentration (HCC) provides a measure of medium to long-term stress and therefore, the relationship between HCC and ESGD was examined in this study. Hair samples were collected from 25 horses and gastroscopy was performed to determine the presence and severity of ESGD. Hair cortisol concentrations were lower in horses with ESGD (P = 0.014), and negatively correlated with lesion severity. Mares had lower HCC than geldings (P = 0.031), and a...
Incarceration of the small intestine through a rent in the ileocecal fold in a horse.
The Canadian veterinary journal = La revue veterinaire canadienne    May 14, 2019   Volume 60, Issue 5 477-479 
Salcedo R, Gomez DE, Krueger E, Koenig J.Small intestinal incarceration in a rent within the ileocecal fold is an uncommon finding in horses. This report describes the history, clinical signs, and surgical findings in a horse with small intestinal strangulation due to a rent at the ileocecal fold. . L’incarcération du petit intestin dans une déchirure du pli iléo-caecal est une constatation rare chez les chevaux. Ce rapport décrit l’anamnèse, les signes cliniques et les constatations chirurgicales d’un cheval atteint d’une strangulation du petit intestin en raison d’une déchirure dans le pli iléo-caecal.(Traduit par ...
Is There Still a Place for Lidocaine in the (Postoperative) Management of Colics?
The Veterinary clinics of North America. Equine practice    May 7, 2019   Volume 35, Issue 2 275-288 doi: 10.1016/j.cveq.2019.03.003
Freeman DE.Intravenous lidocaine is widely used to prevent or treat postoperative ileus in horses. Clinical studies that support this approach are flawed and contradicted by others. Also, physical obstruction could be more important in causing postoperative reflux than postoperative ileus in the horse. The antiinflammatory properties of lidocaine and the role of inflammation from intestinal handling in the genesis of postoperative reflux are questionable. Because of cost and questionable efficacy of lidocaine, a well-designed clinical trial is required to support its continued use. However, lidocaine cou...
Utilizing the fecal microbiota to understand foal gut transitions from birth to weaning.
PloS one    April 30, 2019   Volume 14, Issue 4 e0216211 doi: 10.1371/journal.pone.0216211
De La Torre U, Henderson JD, Furtado KL, Pedroja M, Elenamarie O, Mora A, Pechanec MY, Maga EA, Mienaltowski MJ.A healthy gastrointestinal (GI) tract with a properly established microbiota is necessary for a foal to develop into a healthy weanling. A foal's health can be critically impacted by aberrations in the microbiome such as with diarrhea which can cause great morbidity and mortality in foals. In this study, we hypothesized that gut establishment in the foal transitioning from a diet of milk to a diet of grain, forage, and pasture would be detectable through analyses of the fecal microbiotas. Fecal samples from 37 sets of foals and mares were collected at multiple time points ranging from birth to...
Systematic review of gastrointestinal nematodes of horses from Australia.
Parasites & vectors    April 29, 2019   Volume 12, Issue 1 188 doi: 10.1186/s13071-019-3445-4
Saeed MA, Beveridge I, Abbas G, Beasley A, Bauquier J, Wilkes E, Jacobson C, Hughes KJ, El-Hage C, O'Handley R, Hurley J, Cudmore L, Carrigan P....Equine gastrointestinal nematodes (GINs) have been the subject of intermittent studies in Australia over the past few decades. However, comprehensive information on the epidemiology of equine GINs, the efficacy of available anthelmintic drugs and the prevalence of anthelmintic resistance (AR) in Australasia is lacking. Herein, we have systematically reviewed existing knowledge on the horse GINs recorded in Australia, and main aspects of their pathogeneses, epidemiology, diagnoses, treatment and control. Methods: Six electronic databases were searched for publications on GINs of Australian hors...
Gastrointestinal and pulmonary parasites of working horses from Colombia.
Veterinary parasitology, regional studies and reports    April 24, 2019   Volume 17 100296 doi: 10.1016/j.vprsr.2019.100296
Ramírez-Hernández A, Polo G, Robayo-Sánchez LN, Cruz-Maldonado OA, Imbacuán-Pantoja WO, Cortés-Vecino JA.Working equids are used in different countries for numerous purposes and regularly are crucial for multiple communities' income and profit. Historically, in Bogotá D.C. they were used as animal-powered vehicles but in 2013 it was initiated a substitution and adoption program as a result of society pressure and lawful processes. Infectious diseases and mainly parasitic diseases, poses a threat in the health and productivity of these animals. Our aim was to identify, by coproparasitological methods, the gastrointestinal and pulmonary parasite species infecting working horses submitted to the me...
Intestinal ciliates (Alveolata, Ciliophora) in Brazilian domestic horses (Equus caballus L.) and a review on the ciliate communities associated with horses around the world.
Zootaxa    April 15, 2019   Volume 4585, Issue 3 zootaxa.4585.3.4 doi: 10.11646/zootaxa.4585.3.4
Cedrola F, Bordim S, D'Agosto M, Dias RJP.The aims of this study were to identify and quantify the gastrointestinal ciliates from Brazilian domestic horses, to compare the data obtained with previous studies and to review data on ciliate communities associated with horses around the world. We used eight domestic horses, kept under extensive management. Fecal samples were obtained immediately after defecation of animals and fixed in 18.5% formaldehyde. We identify 24 species of endosymbiotic ciliates, distributed in two subclasses, two orders, five families and 13 genera. The ciliate composition was similar among the animals analyzed. ...
Does prebiotic feeding affect equine gastric health? A study on the effects of prebiotic-induced gastric butyric acid production on mucosal integrity of the equine stomach.
Research in veterinary science    April 11, 2019   Volume 124 303-309 doi: 10.1016/j.rvsc.2019.04.008
Cehak A, Krägeloh T, Zuraw A, Kershaw O, Brehm R, Breves G.Fructo-oligosaccharides are commonly administered as prebiotics to horses in order to reduce the risk of disruption of microbial populations in the hindgut. Their microbial degradation to SCFA already begins in the stomach potentially resulting in increased gastric concentrations of SCFA such as butyric acid. The impact of butyric acid on the squamous mucosa is postulated to be detrimental, its effects on the glandular mucosa are yet unknown. Thus, the aim of this study was to determine the effects of butyric acid exposure on the functional integrity and morphology of the equine nonglandular a...
Mycobacterium branderi Infection in a Horse with Granulomatous Mesenteric Lymphadenitis.
Journal of comparative pathology    April 6, 2019   Volume 168 30-34 doi: 10.1016/j.jcpa.2019.03.003
Silva FS, Lorenzett MP, Bianchi MV, Bastos HBA, Larentis GR, Paul LG, Snel GGM, Oliveira-Filho JP, Mattos RC, Sonne L.Although relatively uncommon in horses, infections caused by Mycobacterium spp. may affect the gastrointestinal tract. Mycobacterium branderi is a non-tuberculous Mycobacterium (NTM) that causes respiratory infections in man. Non-tuberculous mycobacteria may also affect horses; however, infection by M. branderi has not yet been reported in this species. This report describes the clinical, pathological, microbiological and molecular findings of M. branderi infection in a horse, causing granulomatous mesenteric lymphadenitis. A 17-year-old Thoroughbred stallion had a 3-month history of chronic d...
Systemic morphine administration causes gastric distention and hyperphagia in healthy horses.
Equine veterinary journal    March 28, 2019   Volume 51, Issue 5 653-657 doi: 10.1111/evj.13090
Tessier C, Pitaud JP, Thorin C, Touzot-Jourde G.There are no data investigating the effect of systemic morphine on the size of the stomach or the food consumption in horses. Objective: To evaluate gastrointestinal side effects of morphine administered systemically in healthy horses by the means of clinical and ultrasonographic evaluations. Methods: In vivo experiment. Methods: On day 1 of the experiment, six healthy French Trotter mares were evaluated clinically and an abdominal ultrasonography was performed three times 4 h apart to record the size of the stomach, the number of contractions per minute of the duodenum, jejunum, caecum, left...
Pharmacokinetics and selected pharmacodynamics of morphine and its active metabolites in horses after intravenous administration of four doses.
Journal of veterinary pharmacology and therapeutics    March 27, 2019   Volume 42, Issue 4 401-410 doi: 10.1111/jvp.12759
Hamamoto-Hardman BD, Steffey EP, Weiner D, McKemie DS, Kass P, Knych HK.The objective of the current study was to describe and characterize the pharmacokinetics and selected pharmacodynamic effects of morphine and its two major metabolites in horses following several doses of morphine. A total of ten horses were administered a single intravenous dose of morphine: 0.05, 0.1, 0.2, or 0.5 mg/kg, or saline control. Blood samples were collected up to 72 hr, analyzed for morphine, and metabolites by LC/MS/MS, and pharmacokinetic parameters were determined. Step count, heart rate and rhythm, gastrointestinal borborygmi, fecal output, packed cell volume, and total prote...
Misoprostol is superior to combined omeprazole-sucralfate for the treatment of equine gastric glandular disease.
Equine veterinary journal    March 21, 2019   Volume 51, Issue 5 575-580 doi: 10.1111/evj.13087
Varley G, Bowen IM, Habershon-Butcher JL, Nicholls V, Hallowell GD.Previous studies have demonstrated a poor response to healing of gastric glandular lesions with oral omeprazole and other medications. Objective: To evaluate the efficacy of two novel treatments (misoprostol [M] and combined omeprazole-sucralfate [OS]) in horses for gastric glandular disease. Methods: Prospective, clinical study. Methods: Sixty-three sports horses with grade >1/4 glandular disease were identified by gastroscopy. Horses received either 5 μg/kg of misoprostol per os BID 1 h prior to feeding or a combination of 4 mg/kg enteric coated omeprazole per os SID and 12 mg/kg suc...
Effects of vatinoxan on cardiorespiratory function and gastrointestinal motility during constant-rate medetomidine infusion in standing horses.
Equine veterinary journal    March 14, 2019   Volume 51, Issue 5 646-652 doi: 10.1111/evj.13085
Tapio H, Raekallio MR, Mykkänen A, Männikkö S, Scheinin M, Bennett RC, Vainio O.Medetomidine suppresses cardiovascular function and reduces gastrointestinal motility in horses mainly through peripheral α -adrenoceptors. Vatinoxan, a peripheral α -antagonist, has been shown experimentally to alleviate the adverse effects of some α -agonists in horses. However, vatinoxan has not been investigated during constant-rate infusion (CRI) of medetomidine in standing horses. Objective: To evaluate effects of vatinoxan on cardiovascular function, gastrointestinal motility and on sedation level during CRI of medetomidine. Methods: Experimental, randomised, blinded, cross-over stud...
Gastrointestinal effects of general anaesthesia in horses undergoing non abdominal surgery: focus on the clinical parameters and ultrasonographic images.
Research in veterinary science    March 13, 2019   Volume 124 123-128 doi: 10.1016/j.rvsc.2019.03.011
Salciccia A, Gougnard A, Grulke S, de la Rebière de Pouyade G, Libertiaux V, Busoni V, Sandersen C, Serteyn D.The ultrasonographic images of the gastrointestinal tract in horses can be influenced by fasting and sedation but the proper effect of general anaesthesia (GA) on them has not been determined yet. This study aimed to evaluate the effects of GA on ultrasonographic images of the gastrointestinal tract in horses and to compare these effects with a clinical evaluation. Twenty horses undergoing non-abdominal surgeries were evaluated by ultrasonography before and 4 times within 24 h after GA. Each ultrasonographic exam focused on the stomach, the duodenum and on 5 locations on the jejunum. The fou...
Putting the Horse Back in the Barn: Right-Sizing Use of Anesthesia Assistance for Routine Gastrointestinal Endoscopy.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association    March 12, 2019   Volume 17, Issue 12 2434-2436 doi: 10.1016/j.cgh.2019.02.047
Adams MA.No abstract available
Colic Prevention to Avoid Colic Surgery: A Surgeon’s Perspective.
Journal of equine veterinary science    March 6, 2019   Volume 76 1-5 doi: 10.1016/j.jevs.2019.02.023
Blikslager AT.Management factors associated with colic, particularly related to stall confinement and nutrition, have been linked to alterations in gastrointestinal mucosal transport, motility, and microbiome, which in turn creates conditions that induce colic. In particular, meal feeding creates large changes in water movement in and out of the colon and alters the microbiome. These conditions may in turn result in colic conditions such as large colon impaction or large colon volvulus. In addition, a range of management and nutritional factors have been found to place horses at risk of select colic conditi...
[Intramural jejunal lipoma in the small intestine of a young Arabian horse causing invagination of the jejunum].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    February 26, 2019   Volume 47, Issue 1 55-59 doi: 10.1055/a-0825-7296
Vidović A, Jansen D, Hermeyer K.A 2-year-old Arabian horse was presented with severe colic symptoms. During explorative laparotomy, a jejuno-jejunal invagination secondary to a submucosal intestinal mass was detected. The involved jejunal segment was surgically removed and an end-to-end anastomosis was created. Opening the specimen demonstrated the presence of a nodular mass on the head of the intussusceptum, measuring 10 cm in diameter, and almost completely obliterating the intestinal lumen. Additionally, a severe hyperemia of the jejunal mucosa was visible. Histological examination, which revealed a well-demarcated mass...
[Impact of nutrition and probiotics on the equine microbiota: current scientific knowledge and legal regulations].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    February 26, 2019   Volume 47, Issue 1 35-48 doi: 10.1055/a-0824-5210
Langner K, Vervuert I.The hindgut microbiota of the horse is a complex structure which can be highly influenced by the diet or nutrients such as starch. For instance, a diet rich in starch promotes the growth of bacteria that can utilize starch and produce lactate while it reduces the growth of fiber fermenting cellulolytic bacteria. Therefore, attempts are made to balance the hindgut microbiota and to minimize the impacts of feeds which are rich in starch such as the supplementation of probiotics. Up to date only different strains of the yeast (SC) are officially registered probiotics for horses in the European U...
Equine Fecal Microbiota Changes Associated With Anthelmintic Administration.
Journal of equine veterinary science    February 13, 2019   Volume 77 98-106 doi: 10.1016/j.jevs.2019.01.018
Kunz IGZ, Reed KJ, Metcalf JL, Hassel DM, Coleman RJ, Hess TM, Coleman SJ.The gastrointestinal microbiota (GIM) plays an essential role in maintaining intestinal homeostasis with disruptions having profound effects on the wellbeing of the host animal. Parasitic infection is a long-standing issue for the equine industry, and the use of anthelmintic drugs for parasite control has long been standard practice. The impact of anthelmintic treatment on the GIM in healthy horses is not well known. This study evaluated the hypothesis that anthelmintic administration will alter the equine fecal microbiota in horses without an observed helminth infection. Ten horses were treat...
Searching for serum protein markers of equine squamous gastric disease using gel electrophoresis and mass spectrometry.
Equine veterinary journal    February 7, 2019   Volume 51, Issue 5 581-586 doi: 10.1111/evj.13068
Tesena P, Yingchutrakul Y, Roytrakul S, Taylor J, Angkanaporn K, Wongtawan T.Equine squamous gastric disease (ESGD) is a very common disorder but an accurate and practical screening technique for detecting ESGD is currently lacking. Objective: To identify serum protein markers to detect ESGD using electrophoresis and mass spectrometry. Methods: Proteomic analysis and bioinformatics. Methods: ESGD was diagnosed using gastroscopy in 30 horses. Gastric ulceration was categorised into three groups: normal, mild/moderate and severe ESGD. Pooled sera from each group were compared using 1D electrophoresis and mass spectrometry. The candidate proteins for ESGD markers were sel...
Serum protein expression in Equine Glandular Gastric Disease (EGGD) induced by phenylbutazone.
The Journal of veterinary medical science    January 23, 2019   Volume 81, Issue 3 418-424 doi: 10.1292/jvms.18-0679
Tesena P, Yingchutrakul Y, Roytrakul S, Wongtawan T, Angkanaporn K.Equine Glandular Gastric Disease (EGGD) is a common disease in sport horses. This disease might be associated with usage of nonsteroidal anti-inflammatory drugs (NSAIDs) for treating inflammatory diseases. Although gastroscopy has been an effective method for diagnosis, but a less invasive, and inexpensive method is preferred. This study used proteomic technology to identify candidate serum proteins that might be used as markers of NSAIDs induced EGGD. Five Thoroughbred horses were given high doses of NSAID, phenylbutazone to treat lameness. The experiment was divided into three periods: (i) P...
Investigation of effects of omeprazole on the fecal and gastric microbiota of healthy adult horses.
American journal of veterinary research    January 4, 2019   Volume 80, Issue 1 79-86 doi: 10.2460/ajvr.80.1.79
Tyma JF, Epstein KL, Whitfield-Cargile CM, Cohen ND, Giguère S.OBJECTIVE To determine the effects of oral omeprazole administration on the fecal and gastric microbiota of healthy adult horses. ANIMALS 12 healthy adult research horses. PROCEDURES Horses were randomly assigned to receive omeprazole paste (4 mg/kg, PO, q 24 h) or a sham (control) treatment (tap water [20 mL, PO, q 24 h]) for 28 days. Fecal and gastric fluid samples were collected prior to the first treatment (day 0), and on days 7, 28, 35, and 56. Sample DNA was extracted, and bacterial 16S rRNA gene sequences were amplified and sequenced to characterize α and β diversity and differential ...
Sedative and antinociceptive effects of different detomidine constant rate infusions, with or without methadone in standing horses.
Equine veterinary journal    December 18, 2018   Volume 51, Issue 4 530-536 doi: 10.1111/evj.13054
Gozalo-Marcilla M, de Oliveira AR, Fonseca MW, Possebon FS, Pelligand L, Taylor PM, Luna SPL.Standing surgery avoids the risks of general anaesthesia in horses. Objective: To assess sedation, antinociception and gastrointestinal motility in standing horses after a detomidine loading dose and 2-h constant rate intravenous (i.v.) infusion, with or without methadone. Methods: Blinded, randomised, crossover with seven healthy adult cross-bred horses, three geldings and four females (404 ± 22 kg). Methods: Five i.v. treatments were administered to all horses with 1-week washout period: saline (SAL), detomidine low (2.5 μg/kg bwt + 6.25 μg/kg bwt/h) (DL) and high doses (5 μg/kg ...
The Equine Gastrointestinal Microbiome: Impacts of Age and Obesity.
Frontiers in microbiology    December 7, 2018   Volume 9 3017 doi: 10.3389/fmicb.2018.03017
Morrison PK, Newbold CJ, Jones E, Worgan HJ, Grove-White DH, Dugdale AH, Barfoot C, Harris PA, Argo CM.Gastrointestinal microbial communities are increasingly being implicated in host susceptibilities to nutritional/metabolic diseases; such conditions are more prevalent in obese and/or older horses. This controlled study evaluated associations between host-phenotype and the fecal microbiome / metabolome. Thirty-five, Welsh Mountain pony mares were studied across 2 years (Controls, = 6/year, 5-15 years, Body Condition Score (BCS) 4.5-6/9; Obese, = 6/year, 5-15 years, BCS > 7/9; Aged, = 6 Year 1; = 5 Year 2, ≥19 years old). Animals were individually fed the same hay to maintenance (2% bo...
Management factors and clinical implications of glandular and squamous gastric disease in horses.
Journal of veterinary internal medicine    November 29, 2018   Volume 33, Issue 1 233-240 doi: 10.1111/jvim.15350
Sykes BW, Bowen M, Habershon-Butcher JL, Green M, Hallowell GD.To date, risk factors for equine glandular gastric disease (EGGD) have not been described in Thoroughbred racehorses. Objective: To determine management factors associated with EGGD, identify clinical signs in affected horses, and compare these to equine squamous gastric disease (ESGD). Methods: The study was carried out on 109 Thoroughbred racehorses from 8 training yards (3 in the United Kingdom and 5 in Australia). Methods: Gastroscopic examination alongside a questionnaire regarding management, feeding, exercise, and health. Results: Management factors and clinical signs were different for...
Exploratory Celiotomy in the Horse Secondary to Acute Colic: A Review of Indications and Success Rates.
Topics in companion animal medicine    November 16, 2018   Volume 34 1-9 doi: 10.1053/j.tcam.2018.11.001
Gardner A, Dockery A, Quam V.To review indications and risk factors for exploratory celiotomy secondary to acute colic in the horse; decision making for and during surgery; and prognosis for return to function after exploratory celiotomy for the practicing veterinarian. Data sources included scientific reviews and original research publications from veterinary sources, as well as clinical data specifically in regard to underlying disease and survival rates from a tertiary referral hospital where exploratory celiotomy is commonly performed. There is a high positive predictive value of specific clinical preoperative paramet...
Construction of the Equine Digestive System: A Tool for Teaching Topographical Anatomy.
Journal of veterinary medical education    November 12, 2018   Volume 46, Issue 1 108-115 doi: 10.3138/jvme.0317-043r
Leandro RM, Filho RPPF, De Silvio MM, Quilici AP, Sattin MM, Paretsis BF, Souza VA.Anatomy is traditionally regarded as a difficult, non-motivating course involving a large body of theoretical and practical content, and it is often associated with high levels of dropout and failure. Given the relevance of the topic, we propose an alternative active multisensory teaching tool consisting of the construction of a low-fidelity anatomical model assembled into an articulated equine skeleton. Model construction and assembly assists students in the recognition of the topography and anatomical boundaries of the equine abdominal digestive system. Digestive system organs (liver, pancre...
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