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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.
Effect of Firocoxib and Flunixin Meglumine on Large Colon Mural Thickness of Healthy Horses.
Journal of equine veterinary science    May 11, 2023   Volume 126 104562 doi: 10.1016/j.jevs.2023.104562
Bishop RC, Wilkins PA, Kemper AM, Stewart RM, McCoy AM.Nonsteroidal anti-inflammatory drug (NSAID) administration carries risks of gastrointestinal toxicity. Selective COX-2 inhibitors ("coxibs") were designed to reduce risks of adverse effects but are still associated with gastrointestinal complications in humans. The effect of coxibs on colonic inflammation and integrity in horses is unknown. The study objective was to compare the effects of the coxib firocoxib and the nonselective NSAID flunixin meglumine on ultrasonographic indicators of colonic inflammation in healthy horses. Twelve healthy adult horses were administered flunixin meglumine (1...
Occurrence and risk factors associated with gastrointestinal parasitism in horses reared in different systems.
Veterinary parasitology, regional studies and reports    May 11, 2023   Volume 42 100890 doi: 10.1016/j.vprsr.2023.100890
Carminatti A, Chitolina MB, Ribeiro AB, Forest M, Collet SG, Prestes AM, Camillo G.To facilitate exploration of the immense range of gastrointestinal parasites in horses and the impact of parasitism on equine health, the present study aimed to evaluate the occurrence and risk factors associated with these infections in horses reared in different management systems in the state of Santa Catarina, Brazil. Samples were collected from 208 horses: 91 from extensive, 64 from semi-extensive, and 53 from intensive rearing systems. The identified helminths included those of the Strongylida order (80.29%), Parascaris equorum (3.36%), Oxyuris equi (4.33%), and Anoplocephala spp. (1.92%...
Current Topics in Medical Colic.
The Veterinary clinics of North America. Equine practice    May 9, 2023   Volume 39, Issue 2 229-248 doi: 10.1016/j.cveq.2023.03.008
Barton MH, Hallowell GD.The list of medical causes of acute or chronic colic in horses is extensive. The purpose of this article is to review 4 medical causes of equine colic with a focus on newer trends in treatment. The 4 topics selected include gastric impaction, gastric glandular disease, colon displacement, and inflammatory bowel disease.
Medical causes of poor performance and their associations with fitness in Standardbred racehorses.
Journal of veterinary internal medicine    May 6, 2023   Volume 37, Issue 4 1514-1527 doi: 10.1111/jvim.16734
Lo Feudo CM, Stucchi L, Conturba B, Stancari G, Zucca E, Ferrucci F.Poor performance is a multifactorial syndrome of racehorses, commonly associated with subclinical disorders, which can be diagnosed by exercise testing. Objective: Describe the prevalence of medical causes of poor performance in Standardbreds unassociated with lameness, and evaluate their relationships with fitness variables measured by exercise treadmill test. Methods: Hospital population of 259 nonlame Standardbred trotters referred for poor performance. Methods: The horses' medical records were retrospectively reviewed. Horses underwent a diagnostic protocol including resting examination, p...
Effects of calcium supplementation to resuscitation fluids in endurance horses: A randomized, blinded, clinical trial.
Journal of veterinary internal medicine    May 2, 2023   Volume 37, Issue 3 1216-1222 doi: 10.1111/jvim.16715
Fielding CL, Deane EL, Major DS, Mayer JR, Love JC, Peralez MS, Magdesian KG.The addition of calcium to resuscitation fluids is a common practice in horses, but studies evaluating the effects of calcium supplementation are limited. In healthy horses, decreases in heart rate and changes in serum electrolyte concentrations have been reported. Objective: Calcium gluconate administration at a rate of 0.4 mg/kg/min to eliminated endurance horses with metabolic problems will affect heart rate, gastrointestinal sounds, and serum electrolyte concentrations. Methods: Endurance horses eliminated from the Tevis Cup 100-mile (160 km) endurance ride for metabolic problems and req...
What Is the Microbiota and What Is Its Role in Colic?
The Veterinary clinics of North America. Equine practice    April 28, 2023   Volume 39, Issue 2 381-397 doi: 10.1016/j.cveq.2023.03.004
Arnold CE, Pilla R.The fecal microbiome of the horse is reflective of the large colon and plays an important role in the health of the horse. The microbes of the gastrointestinal tract digest fiber and produce energy for the host. Healthy horses have Firmicutes, Bacteroidetes, and Verrucromicrobia as the most common phyla. During gastrointestinal disease such as colic or colitis, the microbiome shows less diversity and changes in bacterial community composition.
Updates on Diagnosis and Management of Colic in the Field and Criteria for Referral.
The Veterinary clinics of North America. Equine practice    April 28, 2023   Volume 39, Issue 2 175-195 doi: 10.1016/j.cveq.2023.03.001
Bookbinder L, Prisk A.Gastrointestinal colic is the most common primary care equine emergency and affects nearly one of four horses per year. Colic is a significant welfare concern for equine patients and a financial and emotional burden for owners. The primary care practitioner is instrumental in identifying critical cases quickly and making appropriate management recommendations to improve patient outcomes.
Changes in Management Lead to Improvement and Healing of Equine Squamous Gastric Disease.
Animals : an open access journal from MDPI    April 28, 2023   Volume 13, Issue 9 1498 doi: 10.3390/ani13091498
Kranenburg LC, van der Poel SH, Warmelink TS, van Doorn DA, van den Boom R.Equine squamous gastric disease (ESGD) is common in horses and poses a serious welfare problem. Several risk factors have been identified and ESGD is routinely treated with omeprazole. Fourteen mares, previously used as embryo recipients and diagnosed with ESGD, were selected. Horses were confined to individual stalls, exercised once daily, and fed ad libitum hay, 1 kg of a low starch compound complementary feed and a mineral supplement. Half of the horses received a compound containing hydrolysed collagen (supplement) and the other half did not (control). At the start of the study, ESGD score...
Retrospective analysis of postoperative complications following surgical treatment of ileal impaction in horses managed with manual decompression compared to jejunal enterotomy.
Frontiers in veterinary science    April 27, 2023   Volume 10 1156678 doi: 10.3389/fvets.2023.1156678
Ruff J, Zetterstrom S, Boone L, Hofmeister E, Smith C, Epstein K, Blikslager A, Fogle C, Burke M.The objective of this study was to compare the occurrence of post-operative complications and survival to discharge in horses with ileal impactions resolved by manual decompression compared with jejunal enterotomy. Unassigned: A total of 121 client-owned horses undergoing surgical correction of an ileal impaction at three teaching hospitals. Unassigned: Data from the medical records of horses undergoing surgical correction of an ileal impaction was retrospectively collected. Post-operative complications, survival to discharge, or post-operative reflux present were evaluated as dependent variab...
The Fibre Requirements of Horses and the Consequences and Causes of Failure to Meet Them.
Animals : an open access journal from MDPI    April 20, 2023   Volume 13, Issue 8 doi: 10.3390/ani13081414
Ermers C, McGilchrist N, Fenner K, Wilson B, McGreevy P.Failure to meet the minimum forage requirement of 1.5% of the horse's bodyweight and the opportunity for foraging for a minimum of 8 h a day (not going without this opportunity longer than four to five consecutive hours) can have both physiological and behavioural consequences. To provide an energy source for horses, rations often include starch rather than fibre. This can result in health issues related to the gastrointestinal tract (GIT) in the horse. In the stomach, the main concern is equine gastric ulcer syndrome (EGUS) and, more specifically, equine squamous gastric disease (ESGD). Ulcer...
Changes in Calprotectin (S100A8-A9) and Aldolase in the Saliva of Horses with Equine Gastric Ulcer Syndrome.
Animals : an open access journal from MDPI    April 16, 2023   Volume 13, Issue 8 doi: 10.3390/ani13081367
Muñoz-Prieto A, Contreras-Aguilar MD, Cerón JJ, Ayala de la Peña I, Martín-Cuervo M, Eckersall PD, Holm Henriksen IM, Tecles F, Hansen S.Equine gastric ulcer syndrome (EGUS) is a highly prevalent disease that affects horses worldwide. Within EGUS, two different forms have been described: equine squamous gastric disease (ESGD) and equine glandular gastric disease (EGGD). The associated clinical signs cause detrimental activity performance, reducing the quality of life of animals. Saliva can contain biomarkers for EGUS that could be potentially used as a complementary tool for diagnosis. The objective of this work was to evaluate the measurements of calprotectin (CALP) and aldolase in the saliva of horses as potential biomarkers ...
A Systematic Review of Current Applications of Fecal Microbiota Transplantation in Horses.
Veterinary sciences    April 13, 2023   Volume 10, Issue 4 doi: 10.3390/vetsci10040290
Tuniyazi M, Wang W, Zhang N.Fecal microbiota transplantation (FMT) is a technique involving transferring fecal matter from a healthy donor to a recipient, with the goal of reinstating a healthy microbiome in the recipient's gut. FMT has been used in horses to manage various gastrointestinal disorders, such as colitis and diarrhea. To evaluate the current literature on the use of FMT in horses, including its efficacy, safety, and potential applications, the authors conducted an extensive search of several databases, including PubMed, MEDLINE, Web of Science, and Google Scholar, published up to 11 January 2023. The authors...
Effect of dietary iron supplementation on the equine fecal microbiome. Arantes JA, Borges AS, Zakia LS, Surette MG, Weese JS, Costa MC, Arroyo LG.Iron is an essential element for all living organisms, including bacteria, as several virulence factors and replication components are influenced by iron concentration. The objective of this study was to determine whether the composition and diversity of the fecal microbiota of adult horses are affected by supplemental dietary iron. Ten clinically healthy horses were randomly divided into a control and an iron-supplemented group ( = 5). The treated group was supplemented with oral ferrous sulphate monohydrate (720 ppm of iron), whereas the control group received 320 ppm of iron daily for 15 d....
Equine Gastric Ulcer Syndrome: An Update on Current Knowledge.
Animals : an open access journal from MDPI    April 5, 2023   Volume 13, Issue 7 doi: 10.3390/ani13071261
Vokes J, Lovett A, Sykes B.Equine Gastric Ulcer Syndrome (EGUS) is a term that has been used since 1999, initially being used to describe all gastric mucosal disease in horses. Since this time, the identification of two distinct main disease entities of the equine gastric mucosa have been described under the umbrella of EGUS; these are Equine Squamous Gastric Disease (ESGD) and Equine Glandular Gastric Disease (EGGD). In 2015 the European College of Equine Internal Medicine (ECEIM) released a consensus statement defining these disease entities. This document highlighted the lack of evidence surrounding EGGD compared to ...
Stress response as a contributing factor in horses with laminitis.
Journal of veterinary science    April 4, 2023   Volume 24, Issue 2 e33 doi: 10.4142/jvs.22039
Moss A, Leise B, Hackett E.Laminitis is a complex and debilitating disease of horses. Numerous predisposing factors contribute to laminitis development, however the exact pathogenesis remains undetermined. Serum T4, cortisol, and histamine are components of the innate stress response and could play a causative or contributory role. Stress hormone concentrations in laminitis are largely unknown. Objective: To evaluate parameters associated with stress response in horses with laminitis, and compare these to healthy horses and horses with gastrointestinal (GI) disease. Methods: Thirty-eight adult horses presenting for non-...
A Comparison of the Efficacy of Two Omeprazole Formulations in the Treatment of Equine Gastric Ulcer Syndrome in Racehorses: A Blinded, Randomized Clinical Trial.
Journal of equine veterinary science    March 31, 2023   Volume 126 104296 doi: 10.1016/j.jevs.2023.104296
Busechian S, Conti MB, Sgorbini M, Conte G, Marchesi MC, Pieramati C, Zappulla F, Vitale V, Rueca F.Equine gastric ulcer syndrome (EGUS) is the most common disease of the stomach in horses and treatment is based on the oral administration of omeprazole for at least 28 days. Aim of this study was to compare the efficacy of two formulations of oral omeprazole-powder paste and gastro-enteric resistant granules-in the treatment of naturally occurring gastric ulcers in racehorses. Thirty-two adult racehorses, aged between 2 and 10 years old, with clinical signs of EGUS were included in this blinded, randomized clinical trial. Two gastroscopies were performed to evaluate gastric lesions in the squ...
Five- versus seven-day dosing intervals of extended-release injectable omeprazole in the treatment of equine squamous and glandular gastric disease.
Equine veterinary journal    March 28, 2023   doi: 10.1111/evj.13938
Sundra T, Kelty E, Rendle D.An extended-release injectable omeprazole formulation (ERIO) has become a popular treatment for equine squamous gastric disease (ESGD) and equine glandular gastric disease (EGGD) where it is available; however, published data are limited and optimal treatment regimens have not been determined. Objective: To compare effects of treatment on ESGD and EGGD when an ERIO formulation is administered at either 5- or 7-day intervals. Methods: Retrospective clinical study. Methods: Case records and gastroscopy images of horses with ESGD or EGGD treated with ERIO were reviewed. Images were anonymised and...
Dexmedetomidine Has Differential Effects on the Contractility of Equine Jejunal Smooth Muscle Layers In Vitro.
Animals : an open access journal from MDPI    March 10, 2023   Volume 13, Issue 6 doi: 10.3390/ani13061021
Verhaar N, Hoppe S, Grages AM, Hansen K, Neudeck S, Kästner S, Mazzuoli-Weber G.α2 agonists are frequently used in horses with colic, even though they have been shown to inhibit gastrointestinal motility. The aim of this study was to determine the effect of dexmedetomidine on small intestinal in vitro contractility during different phases of ischaemia. Experimental segmental jejunal ischaemia was induced in 12 horses under general anaesthesia, and intestinal samples were taken pre-ischaemia and following ischaemia and reperfusion. Spontaneous and electrically evoked contractile activity of the circular and longitudinal smooth muscles were determined in each sample with a...
Dietary Fermentation Product of Aspergillus Oryzae Prevents Increases in Gastrointestinal Permeability (‘Leaky Gut’) in Horses Undergoing Combined Transport and Exercise.
Animals : an open access journal from MDPI    March 6, 2023   Volume 13, Issue 5 doi: 10.3390/ani13050951
McGilloway M, Manley S, Aho A, Heeringa KN, Whitacre L, Lou Y, Squires EJ, Pearson W.Equine leaky gut syndrome is characterized by gastrointestinal hyperpermeability and may be associated with adverse health effects in horses. The purpose was to evaluate the effects of a prebiotic Aspergillus oryzae product (SUPP) on stress-induced gastrointestinal hyperpermeability. Eight horses received a diet containing SUPP (0.02 g/kg BW) or an unsupplemented diet (CO) (n = 4 per group) for 28 days. On Days 0 and 28, horses were intubated with an indigestible marker of gastrointestinal permeability (iohexol). Half the horses from each feeding group underwent 60 min of transport by trailer ...
Effects of Transport and Feeding Strategies Before Transportation on Redox Homeostasis and Gastric Ulceration in Horses.
Journal of equine veterinary science    March 3, 2023   Volume 126 104268 doi: 10.1016/j.jevs.2023.104268
Gharehaghajlou Y, Raidal SL, Freccero F, Padalino B.Transportation may lead to oxidative stress (OS) and gastric ulceration in horses, and optimal feed management before, or during, transportation is unclear. This study aimed to evaluate the effects of transportation after three different feeding strategies on OS and to explore possible associations between OS and equine gastric ulcer syndrome (EGUS). Twenty-six mares were transported by truck for 12 hours without food or water. Horses were randomly divided into 3 groups; (1) fed 1 hour before departure (BD), (2) fed 6 hours BD, (3) fed 12 hours BD. Clinical examinations and blood collections w...
Equine metabolic syndrome: Role of the enteroinsular axis in the insulin response to oral carbohydrate.
Veterinary journal (London, England : 1997)    February 28, 2023   Volume 294 105967 doi: 10.1016/j.tvjl.2023.105967
de Laat MA, Fitzgerald DM.Equine insulin dysregulation (ID) comprises amplified insulin responses to oral carbohydrates or insulin resistance, or both, which leads to sustained or periodic hyperinsulinaemia. Hyperinsulinaemia is important in horses because of its clear association with laminitis risk, and the gravity of this common sequela justifies the need for a better understanding of insulin and glucose homoeostasis in this species. Post-prandial hyperinsulinaemia is the more commonly identified component of ID and is diagnosed using tests that include an assessment of the gastrointestinal tract (GIT). There are se...
Estimating the Prevalence and Factors Affecting the Shedding of Helminth Eggs in Irish Equine Populations.
Animals : an open access journal from MDPI    February 7, 2023   Volume 13, Issue 4 doi: 10.3390/ani13040581
Elghryani N, McOwan T, Mincher C, Duggan V, de Waal T.Gastrointestinal helminths are ubiquitous in horse populations across the world. Intensive anthelmintic treatments have succeeded in controlling some of the pathogenic effects of these parasites. However, the success of anthelmintic drugs has been threatened by the development of widespread resistance to those most commonly used. To develop improved control strategies, information on helminth distribution patterns is needed, which can be obtained by identifying animals regarded as high egg shedders and taking age, gender, and other risk factors into account. The aim of this study was to determ...
Effects of Microencapsulated Essential Oils on Equine Health: Nutrition, Metabolism and Methane Emission.
Life (Basel, Switzerland)    February 6, 2023   Volume 13, Issue 2 455 doi: 10.3390/life13020455
Elghandour MMMY, Maggiolino A, García EIC, Sánchez-Aparicio P, De Palo P, Ponce-Covarrubias JL, Pliego AB, Salem AZM.This review examines the available data regarding the positive effects of microencapsulated essential oils (EOs) on the nutrition, metabolism, and possibly the methane emission of horses. A literature review was conducted on the effect of microencapsulated (EOs) on the health of horses. The information comprises articles published in recent years in indexed journals. The results indicate that mixtures of microencapsulated EOs may be beneficial to equine health due to their antimicrobial and antioxidant activity, as well as their effects on enteric methane production, nutrient absorption, and i...
An Overview of Equine Enteric Clostridial Diseases.
The Veterinary clinics of North America. Equine practice    February 1, 2023   Volume 39, Issue 1 15-23 doi: 10.1016/j.cveq.2022.11.012
Kuttappan DA, Mooyottu S, Sponseller BA.The understanding of the pathogenesis of equine enteric clostridial organisms is an active, evolving field. Advances will improve our knowledge both from the animal welfare and human health perspectives. The zoonotic nature of this group of diseases makes them relevant in the age of One health, as a significant amount of close human-equine interactions occurs for business and pleasure. Economic and welfare reasons prompt a better understanding of enteric clostridial pathogenesis, treatment, and control of the infection in horses and ongoing efforts are needed to advance clinical outcomes.
Biomarkers of Intestinal Injury in Colic.
Animals : an open access journal from MDPI    January 7, 2023   Volume 13, Issue 2 doi: 10.3390/ani13020227
Ludwig EK, Hobbs KJ, McKinney-Aguirre CA, Gonzalez LM.Biomarkers are typically proteins, enzymes, or other molecular changes that are elevated or decreased in body fluids during the course of inflammation or disease. Biomarkers pose an extremely attractive tool for establishing diagnoses and prognoses of equine gastrointestinal colic, one of the most prevalent causes of morbidity and mortality in horses. This topic has received increasing attention because early diagnosis of some forms of severe colic, such as intestinal ischemia, would create opportunities for rapid interventions that would likely improve case outcomes. This review explores biom...
Culture of equine intestinal epithelial stem cells after delayed tissue storage for future applications.
BMC veterinary research    December 23, 2022   Volume 18, Issue 1 445 doi: 10.1186/s12917-022-03552-6
Stewart AS, Schaaf CR, Veerasammy B, Freund JM, Gonzalez LM.Equine intestinal epithelial stem cells (ISCs) serve as potential targets to treat horses with severe intestinal injury. The ability to isolate and store ISCs from intestinal biopsies creates an opportunity for both in vitro experiments to study ISC dynamics in a variety of intestinal diseases, and, in the future, utilize these cells as a possible therapy. If biopsies could be successfully stored prior to processing for ISCs, this would increase the availability of sample repositories for future experimental and therapeutic use. However, delayed culture of equine ISCs following prolonged sampl...
Gastro-Intestinal Microbiota in Equines and Its Role in Health and Disease: The Black Box Opens.
Microorganisms    December 19, 2022   Volume 10, Issue 12 doi: 10.3390/microorganisms10122517
Chaucheyras-Durand F, Sacy A, Karges K, Apper E.Horses are large non-ruminant herbivores and rely on microbial fermentation for energy, with more than half of their maintenance energy requirement coming from microbial fermentation occurring in their enlarged caecum and colon. To achieve that, the gastro-intestinal tract (GIT) of horses harbors a broad range of various microorganisms, differing in each GIT segment, which are essential for efficient utilization of feed, especially to use nutrients that are not or little degraded by endogenous enzymes. In addition, like in other animal species, the GIT microbiota is in permanent interplay with...
Retrospective Evaluation of the Most Frequently Observed Histological Changes in Duodenal and Rectal Mucosal Biopsies in Horses with Recurrent Colic.
Animals : an open access journal from MDPI    December 13, 2022   Volume 12, Issue 24 doi: 10.3390/ani12243527
Siwińska N, Żak-Bochenek A, Paszkowska M, Karczewski M, Długopolska D, Haider W.Colic, a condition affecting the gastrointestinal tract of horses, manifests as severe pain and may be a life-threatening condition. It is possible to distinguish between an acute, disposable process, as well as recurrent colic symptoms (abdominal pain) caused by an ongoing chronic inflammatory process. This paper presents a retrospective analysis of the histopathological findings of duodenal and rectal samples taken from horses with recurrent colic, with the aim to determine the frequency and extent of inflammation. The samples, i.e., duodenal biopsy (60 samples) and rectal biopsy (17 samples...
Does lesion type or severity predict outcome of therapy for horses with equine glandular gastric disease? – A retrospective study.
Veterinary medicine and science    December 10, 2022   Volume 9, Issue 1 150-157 doi: 10.1002/vms3.1034
Pratt SL, Bowen M, Hallowell GH, Shipman E, Bailey J, Redpath A.Equine glandular gastric disease (EGGD) is a common condition of the horse. Misoprostol is reported to be superior to oral omeprazole and sucralfate for treatment. Long-acting intramuscular injectable omeprazole (LAIOMEP) is a novel treatment shown to be effective in a small population. This study aimed to determine LAIOMEP efficacy compared to misoprostol and oral omeprazole and identify characteristics that predict treatment outcome. All horses that underwent gastroscopy between 2012 and 2019 were reviewed. Lesions were characterised by 4 blinded observers, all of whom are diplomates in equi...
The Role of Yeast Saccharomyces cerevisiae in Supporting Gut Health in Horses: An Updated Review on Its Effects on Digestibility and Intestinal and Fecal Microbiota.
Animals : an open access journal from MDPI    December 9, 2022   Volume 12, Issue 24 3475 doi: 10.3390/ani12243475
Perricone V, Sandrini S, Irshad N, Comi M, Lecchi C, Savoini G, Agazzi A.To support the overall health of horses, it is essential to maintain an optimal gut health (GH) status, which encompasses several physiological and functional aspects, including the balance and functionality of intestinal microbial populations and, accordingly, the effective digestion and absorption of nutrients. Numerous biotic and abiotic stressors can lead to an imbalance of GH, such as the quality of forages and the composition of diet, e.g., the inclusion of high energy-dense feeds to meet the energy requirements of performance horses. To support the digestive function and the intestinal ...