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.
Snow DH, Douglas TA, Thompson H, Parkins JJ, Holmes PH.Toxic effects of phenylbutazone (PBZ) in ponies and horses were studied, using a variety of biochemical, pathophysiologic, and pathologic methods. At dosage levels of 10 to 12 mg/kg of body weight/day for 8 to 10 days, ponies frequently developed clinical signs of toxicosis characterized by hypoproteinemia. Studies using 51CrCl3 demonstrated that PBZ caused a protein-losing gastroenteropathy. The plasma loss was usually associated with gastrointestinal ulceration, but sometimes occurred without obvious lesions in mildly affected animals. Similar studies (8.2 mg/kg/day for 13 days) in Thoroughb...
Malan FS, Reinecke RK, Scialdo RC.The tongue, pharynx, oesophagus and gums are examined for larvae of gasterophilus spp., and the nose and sinuses for oestrid larvae. The gastro-intestinal tract is divided into separate specimens-stomach, small intestine, caecum, ventral colon, dorsal colon, descending colon and rectum- and each is examined separately. Aliquots of ingesta of 1/4 by mass of the stomach and 1/10 by mass of the small intestine, caecum, ventral colon and dorsal colon are collected for microscopic examination. Each part of the wall of the caecum, ventral and dorsal colon is washed and specimens are collected for su...
van der Gaag I, van Bruinessen-Kapsenberg EG, Dik KJ, Kroneman J.A two-month-old female foal with duodenal stenosis is described. The foal was in poor condition and showed an abnormal stable behaviour. She stood preferably with her head stretched out and reposing on the mare's back or on the stable ridge. Salivation was an important symptom. Clinical and radiological examination of the oral cavity, the pharynx, and the oesophagus showed no abnormalities, except for the antiperistaltic wave along the oesophagus. Because of her bad condition the filly was euthanized. At post mortem examination, apart from leukoplakia, an erosive ulcerative inflammation was fo...
Allison MJ, Cook HM.Rates of oxalate degradation by microbes in gastrointestinal contents from rabbits, guinea pigs, swine and a horse increased after additional of oxalate to diets. A similar response was previously observed with ruminal microbes from cattle and sheep. Bacterial that utilize oxalate for growth appear to be selected by increased levels of dietary oxalate.
Webb AI, Weaver BM.The solubilities of halothane at a concentration of 0.77% v/v in 5% carbon dioxide in air at 37 degrees C were determined for a variety of equine tissues. The mean values for the tissue/gas partition coefficients for visceral tissue taken from 36 horses were 5.42 for whole brain, 4.82 for grey matter, 7.41 for white matter, 4.18 for myocardium, 2.76 for lung, 8.51 for liver, 3.21 for kidneys, 2.66 for gastrointestinal tract, 1.77 for blood and 2.45 for spleen. The mean coefficients for eight different muscles taken from 23 horses ranged from 2.43 for extensor carpi radialis to 4.91 for psoas m...
Dietz HH.Diagnostic tests in horses showing signs of gastrointestinal diseases are reviewed. The use of rectal exploration is emphasized, and paracentesis as a diagnostic aid is mentioned. Special attention is given to the absorption tests as they are easy to conduct and give a relative measure of the absorptive capability of the intestinal epithelium. Glucose, D(+)-xylose and carbohydrate digestion-absorption tests are compared, and the D(+)-xylose absorption test is preferred because of the univocal curve of absorption (see Figure 1 and 2). The absorption curve in a horse suffering from alimentary ly...
Mackay RJ, Iverson WO, Merritt AM.A 4-year-old stallion was examined because of a 2-month history of inappetance and weight loss. Diarrhoea had also developed a month before presentation. Abnormal clinical findings were emaciation, diarrhoea, ventral oedema, palpable mesenteric lymph node enlargement and a large mass in the left cranial portion of the abdomen. Significant laboratory findings were anaemia (packed cell volume 0.21 litres/litre), hypoalbuminaemia (16 g/litre) and xylose malabsorption. The horse was euthanased and at necropsy a 10.5 kg pendunculated mass composed of granulation tissue was found within and attached...
Dietz HH.25 horses were subjected to the D(+)-xylose absorption test. 1 gram of D(+)-xylose/kg bw. was administered orally. Based upon the shape of the absorption curves the 25 patients were divided into four groups. Group 1 11 patients with a normal absorption curve (Figure 3) Group 2 5 patients with a flat absorption curve (Figure 4) Group 3 3 patients with a flat absorption curve (Figure 5) Group 4 7 patients with an intermediary type of absorption curve (Figure 6). Administration of sodium chloride in equimolar concentrations did not improve the absorption of D(+)-xylose. 73 per cent of the horses ...
Speirs VC, van Veenendaal JC, Christie BA, Lavelle RB, Gay CC.Three cases of intramural haematoma of the small colon of horses are presented. In all cases the haematoma obstructed the lumen and caused an accumulation of faeces and gas. The horses were in shock and had acute abdominal pain. Exploratory abdominal surgery revealed the haematomas and showed them to be associated with chronic infection and terminal rupture in one animal which was subsequently killed, and an iatrogenic perforation of the terminal small colon in another which survived after intestinal resection. In the remaining horse, which died without recovering after intestinal resection, n...
White NA.Intestinal infarction associated with cranial mesenteric artery thrombosis, without strangulation obstruction of the intestine, was studied in 18 horses. Findings normally of value in evaluating horses with acute abdominal pain (heart rate, rectal palpation findings, gastric reflux) or classification of the degree of pain were not helpful in diagnosing the problem. Similarly, packed cell volume, plasma total protein, circulating white blood cell count, peritoneal white blood cell count, and peritoneal fluid total protein were not of value in predicting severity of the intestinal damage, locati...
Pecheur M.A number of good anthelmintic drugs are currently available which eliminate gastrointestinal nematodes of equids with over 90% success. This is shown by comparing results of critical tests conducted with 9 anthelmintic agents on ponies using the following dosages: 19 mg/kg for Pyrantel embonate, 10 mg/kg for Oxfendazole, 10 mg/kg for Mebendazole, 5 mg/kg for Albendazole, 40 mg/kg for Dichlorvos, 44 mg/kg for Thiabendazole, 7.5 mg/kg, for Fenbendazole, 20 mg/kg for Cambendazole and 7 mg/kg for Parbendazole. From 6 to 9 ponies were treated with each of these anthelmintic agents. Based on total a...
Klei TR, Torbert BJ.The controlled test method was used to evaluate the antiparasitic efficacy of IM inoculated 22,23-dihydroavermectin B1 (ivermectin) against gastrointestinal parasites of horses (ponies). Parasite infections were naturally acquired in southern Louisiana. Dose levels of the drug tested were 0.2 mg/kg, 0.3 mg/kg, and 0.5 mg/kg. Ivermectin at all dose levels tested had an efficacy greater than 97% (P less than 0.05) against Gasterophilus intestinalis larvae, Trichostrongylus axei, Oxyuris equi larvae, Strongylus vulgaris, S edentatus, 15 species of small strongyles, and small strongyle larvae. Pon...
Moore JN, White NA, Trim CM, Garner HE.This study examined the effect of intraluminal oxygen administration on mucosal morphology following intestinal strangulation obstruction (ISO) in anesthetized ponies. The ISO was produced by ligation of the intestinal vasculature in 5 ponies for 50 minutes and 2 ponies for 90 minutes. Two ponies served as controls. Light and scanning electron microscopic examination of intestinal biopsy specimens revealed progressive mucosal degeneration following ISO in nontreated intestines, whereas high magnification scanning electron microscopic examination documented subtle evidence of microvilli disrupt...
Barclay WP, Foerner JJ, Phillips TN.Volvulus of the large colon was diagnosed at surgery in 25 horses during a 4-year period. Two horses had a recurrence of the condition after successful correction. Mucosal necrosis was found to be a grave prognostic sign, as it was a consistent finding in horses that died at the time of surgery. Long-term colon dysfunction was not clinically evident in surviving horses.
Barth AD, Barber SM, McKenzie NT.A two month old Thoroughbred filly was presented with signs of depression, grinding of the teeth, frothing of the mouth and abdominal pain. These signs had persisted for two weeks despite treatment with mineral oil, dioctyl sodium sulfosuccinate, meperidine and antibiotics. A variety of diagnostic tests were done, the only abnormal finding was a stress leukon. On exploratory laparotomy the stomach was dilated with fluid and gas and the pyloric canal was constricted. Pyloroplasty resulted in correction of the condition. The etiological possibilities are discussed. This is believed to be the fir...
Roberts MC, Kelly WR.Granulomatous enteritis was diagnosed in a 4-year-old Standarbred mare suffering from chronic weight loss, depression, dependent oedema but not diarrhoea. There was hypoproteinaemia (hypoalbuminaemia), lymphocytopaenia and neglibible carbohydrate absorption from the small intestine. Pathological changes in almost the entire small intestine included proprial infiltration resulting in partial villous atrophy, and granuloma formation beneath the muscularis which was most severe in the ileum. Slight infiltration occurred in the stomach and the colon. The cells were predominantly lymphocytes and hi...
Urch DL, Allen WR.The efficacy of orally administered fenbendazole on lung and intestinal parasitism in equids was investigated in a mixed herd of pony mares, jenny donkeys and foals. A single dose of 7.5 mg fenbendazole/kg body weight effectively removed intestinal parasites from the ponies, donkeys and foals, but higher doses and repeated treatments failed to eliminate lungworm infections in donkeys. The finding of eosinophilia proved useful in detecting lungworm infections in donkeys.
Minder HP, Merritt AM, Chalupa W.Feces from 13 healthy horses and 8 horses with chronic diarrhea were subjected to an in vetro fermentation procedure that had been developed for rumen fluid. Fermentations were conducted over 6 hours in a closed system, with and without an essential amino acid (EAA) mixture being added to the basic starch-buffer medium. The addition of EAA caused no significant difference in results of fermentation of feces from healthy horses. For diarrheic animals, there was a significant (P less than 0.01) increase in gas and total volatile fatty acids production whether EAA were present or not, and alpha-a...
Tisserand JL, Ottin Pecchio M, Rollin G.The cellulolytic activity in the large intestine of the pony varies according to the form and the composition of the feed. This activity was measured on two caecal and ventral colon-cannulated ponies receiving the following 4 diets during four successive 6-week periods: --6 kg of hay, --4 kg of hay + 1 kg of oats, --6 kg of ground, pelleted hay. --5 kg of a ground, pelleted blend of 80 p. 100 hay and 20 p. 100 oats. Adding oats to a hay feed increased the cellulolytical activity in the caecum and the colon, whereas grinding and pelleting hay alone or hay enriched with oats diminished that acti...
Campbell-Thompson ML, Brown MP, Slone DE, Merritt AM, Moll HD, Levy M.Gastroenterostomy was performed in 14 foals to treat gastric outflow obstruction caused by advanced gastroduodenal ulcer disease. The onset of excessive salivation and teeth grinding, without response to medical treatment, combined with endoscopic and radiographic evidence of gastric outflow obstruction, were indications for surgical intervention. Successful outcome in 5 foals was attributed to early diagnosis, patient stabilization, early surgical correction, and postoperative management including antibiotics and antiulcer medication.
Richardson LM, Gordon J, Davila C, Chamoun-Emanuelli AM, Zdyrski C, Whitfield-Cargile CM.Gastrointestinal (GI) disease is a major cause of morbidity and mortality in horses, with disruption of the intestinal epithelial barrier playing a central role in disease pathogenesis. A deeper understanding of the molecular and functional properties of the equine intestinal barrier is essential to improve diagnostics and therapeutics. While intestinal organoids have emerged as a promising tool for modeling GI physiology and disease, equine-specific data remain limited. Existing studies vary in methodology and often lack functional characterization, particularly across different intestinal re...
Honnas CM, Schumacher J.Primary gastric impaction developed in a pony as a result of the ingestion of persimmon seeds and mesquite beans. Clinical signs included mild abdominal pain, prolonged recumbency, anorexia, and lethargy. When medical therapy was unsuccessful, an exploratory laparotomy was performed. Previously, gastric impaction has been associated with signs of severe abdominal pain. Gastric impaction should be considered in cases of abdominal crisis of long duration and mild pain.
Epstein K, Short D, Parente E, Reef V, Southwood L.The objective was to characterize ultrasonographic changes in bowel wall thickness, contractility, degree of distension, luminal contents, and peritoneal fluid associated with exploratory celiotomy in normal ponies. Gastrointestinal ultrasonographic examination was performed in 14 ponies on days 1, 3, 5, and 7 after an exploratory celiotomy. Wall thickness, contractility, degree of distension, and luminal contents were recorded for the duodenum and jejunum. Stomach wall thickness and location, cecal wall thickness, and peritoneal fluid location and character were recorded. Peritoneal fluid was...
Oikawa M, Kaneko M, Yoshikawa T.To elucidate the pathomorphogenesis of extremely shortened small-intestinal villi, occurring spontaneously in neonatal foals, the morphology of the small intestine with stunted villi was studied in eight cases. All intestinal wall elements and the villi were poorly developed. Most villi were found to be extremely short throughout the entire length of the small intestine. The villous core consisted of undifferentiated, fibroblast-like cells held loosely together by ground substance which was rich in glycosaminoglycan. Development of the villous lamina propria was poor with respect to capillarie...
Baker SJ, Gerring EL.Gastric pH was monitored in neonatal foals from birth to 3 months of age. Background pH decreased, especially during the first week of life. Milk had complex effects that depended on pH prior to sucking, confounded by the age of the foal: nearly neutral background pH tended to be acidified after milk intake; moderately acid background pH tended to be neutralized; low background pH was only slightly increased by milk. Absolute magnitude of the effects of milk decreased with age. Existence of a proulcerative intragastric environment in preweaning foals is postulated, but this must be considered ...
Roberts MC, Kidder DE, Hill FW.Two enzymes having lactase activity are present in the equine small intestine. The first, the digestive enzyme, neutral beta-galactosidase, declines in activity from birth to three years, disappearing completely between 3 and 4 years of age. The other, the soluble lysosomal enzyme, acid beta-galactosidase, having affinity for lactose and a synthetic beta-galactoside, shows a decrease in activity in the first three months of life and thereafter varies little in activity and represents the lactase enzyme in the adult horse. This pattern may parallel the development of lactase activity in many ot...
Vigroux P, Candau M, Ruckebusch Y.Electrical spiking activity of the caecum is increased eight-fold and the rate of passage of digesta is increased four-fold when the volume of caecal contents is doubled. The role of caecal motility in regulating the volume of caecal contents is discussed.
Verberne LR, Mirck MH.The toxicity of parbendazole in different doses was investigated with 52 horses and 16 ponies, in twelve groups. Side effects observed with the anthelmintic were laxation (soft dung, diarrhoea), anorexia, and listlessness. The seriousness of these symptoms depended greatly on the dose used. Half the therapeutic dose of parbendazole (2.5 to 3.75 mg/kg) administered on two consecutive days led, as a rule, to only slight toxic symptoms and proved highly effective with regard to gastro-intestinal nematodes occurring in horses and ponies. The utilisation of "standard powders" (not commercially avai...
Yildiz H, Yildiz B, Arslan K, Ozgür C.In this study we present a geometric model of the ascending colon of the horse, especially the left ventral colon and the right ventral colon, the left dorsal colon and the right dorsal colon and the pelvic flexure. We also present a mathematical model of the cross sections of these ascending colon parts with the exceptions of the pelvic flexure. We show that these cross-sections correspond to the closed algebraic curves known as epitrochoid.
Kalsbeek HC.Non-surgical correction of nephrosplenic entrapment of the left colon was attempted in 27 cases. In two cases the method failed and a laparotomy was necessary. Two other horses had a recurrence, one of which underwent laparotomy because of torsion of the caecal body.
Andrews FM, Robertson JT.Functional obstruction of the right dorsal colon was found at surgery in a 6-year-old American Saddlebred gelding with a history of anorexia, depression, weight loss, and intermittent colic. Side-to-side anastomosis of the right dorsal colon to the small colon was done to bypass the obstruction. Histopathologic findings of the right dorsal colon and regional colonic lymph nodes were unremarkable. Surgical treatment was successful.