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Topic:Stomach
The equine stomach is a complex organ responsible for the initial stages of digestion in horses. It is divided into two main regions: the non-glandular (squamous) region and the glandular region, each with distinct functions and susceptibilities to conditions such as ulcers. The stomach's acidic environment aids in breaking down food particles, while enzymes initiate the digestion of proteins. The equine stomach is adapted for continuous grazing, with relatively small capacity and rapid emptying into the small intestine. This page aggregates peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, and common disorders of the horse's stomach, as well as their implications for equine nutrition and health management.
Repair of a full-thickness gastric rupture in a horse. A 14-year-old Thoroughbred broodmare was evaluated for signs of mild to moderate abdominal pain of 5 hours' duration. Exploratory celiotomy revealed a 20 x 8-cm subserosal hematoma associated with a focal serosal perforation overlying a muscular tear along the parietal surface of the stomach. The odor of intestinal tract gas was detected, but gross contamination of the abdomen was not evident. Concurrent partial volvulus of the small intestine was evident. Removal of the large colon from the abdomen appeared to coincide with propagation of the serosal perforation to a full-thickness gastric re...
Laparoscopic anatomy of the equine abdomen. Laparoscopy was performed on 6 horses (2 mares, 2 geldings, 2 stallions) to determine the normal laparoscopic anatomy of the equine abdomen. After withholding feed for 36 hours, horses were examined from the left and right paralumbar fossae, and the visceral anatomic structures were recorded by videotape and photography. One mare developed emphysema located subcutaneously at the primary laparoscopic portal; otherwise, there were no complications. The anatomic structures of diagnostic importance that were observed in the left half of the abdomen were the hepatic duct; left lateral and quadrate ...
Equine model of inducing ulceration in alimentary squamous epithelial mucosa. Ulceration of the gastric squamous epithelial mucosa was induced in 10 horses using a feeding protocol previously shown to expose the gastric mucosa to repeated periods of high acidity. The feeding protocol consisted of alternating feed deprivation with free access to hay. Over a period of seven days, each horse was provided hay for 84 hr and deprived of hay for 84 hr. Hay was never withheld for longer than 24 hr at a time. Gastroscopy was performed on each horse at the beginning of the protocol after 12 hr of feed deprivation, and after a total of 36 hr, 60 hr, and 84 hr of feed deprivation. ...
Measurement of gastric emptying of water in foals by impedance epigastrography. Impedance epigastrography was used to measure gastric emptying rates on two occasions in each of three foals. After smoothing of the raw data, emptying of water appeared to obey an exponential model. The mean emptying rate constant (SEM) was 0.171 +/- 0.038 min-1 (mean emptying half time 4.9 +/- 1.0 min).
Transendoscopic electrocautery-induced gastric ulcers as a model for gastric healing studies in ponies. The ponies were apparently healthy and 6-20 months of age. In Study 1, gastric lesions were created by transendoscopic electrocautery in the non-glandular gastric mucosa, adjacent to the margo plicatus in 9 ponies which were then treated with water, 12 mg cimetidine HCl/kg bwt or 18 mg cimetidine HCl/kg bwt per os every 12 h for 35 days. In Study 2, gastric lesions were similarly induced in 9 ponies in the non-glandular mucosa and also in the glandular mucosa just below the non-glandular lesion on the greater curvature of the stomach. The ponies were treated with water, 8 mg cimetidine/kg bwt ...
Gastric emptying of four liquid meals in pony foals. Water, saline and a saline/Intralipid mixture (lipid concentration 1.25 per cent) emptied very rapidly from the stomach in neonatal pony foals, and obeyed an apparently exponential pattern. Cisapride did not significantly modify the emptying of the saline/Intralipid mixture. Equine milk emptied more slowly. The data indicated that the lipid component of milk was not an important factor. Milk caused deviation from an exponential pattern in two of four foals: an initial lag phase appeared, which could represent a phase of intragastric processing. However, the rate was still rapid compared with r...
Age-related characteristics of gastric squamous epithelial mucosa in foals. Specimens of grossly normal gastric stratified squamous epithelial mucosa adjacent to the margo plicatus on the right side and along the greater curvature were obtained from 7 foetuses, 10 term foals and 12 foals 2-35 days old. Gastric squamous epithelium from the foetuses changed markedly during gestation. At 150-270 days, the epithelium was 8-10 cells thick, with a single layer of basal cells. Epithelial cells were polyhedral and had abundant clear or slightly stained cytoplasm. In the 300-day foetus the basal layer was thicker, epithelial cells were polyhedral, and there was a flattened 1 c...
Technique for prolonged, minimally invasive monitoring of intragastric pH in ponies. Intragastric pH monitoring was investigated in ponies. In cadaver stomachs, close contact with the mucosa led to high pH readings if nonweighted electrodes were used. However, pH recorded by weighted electrodes was markedly less affected by mucosal contact (P < 0.001). The latter were used for subsequent trials. In vivo, high correlations were found between pH recorded by weighted electrodes with or without a wire guard to prevent mucosal contact (correlation, r = 0.866; P < 0.001). Readings from each correlated well with those from simultaneous gastric aspirates (r = 0.774 and r = 0.807...
Measurement of 24-h gastric pH using an indwelling pH electrode in horses unfed, fed and treated with ranitidine. A glass combined pH-reference electrode was placed in the stomachs of 5 adult horses and pH was recorded every 6 mins for 24 h while (1) feed and all bedding materials were withheld for 24 h (unfed), (2) horses had free access to Timothy grass hay for 24 h (fed), and (3) horses had free access to Timothy grass hay and were treated with ranitidine, 6.6 mg/kg body weight, orally, every 8 h for 48 h (fed + ranitidine). There was a significant (P = 0.007) difference in median 24-h gastric pH amongst the 3 protocols, the value being 3.1 in fed horses and 1.55 in unfed horses (P = 0.05) and 4.6 in f...
Effect of ranitidine on healing of experimentally induced gastric ulcers in ponies. Thirty young ponies were examined endoscopically for evidence of gastric ulceration. Seven ponies had noninduced gastric ulcers present at the initial examination and were eliminated from the study. In an attempt to induce gastric ulcers experimentally, flunixin meglumine (1.1 mg/kg of body weight, IM, q 8 h) was administered for 7 days to the 23 ponies with endoscopically normal gastric mucosa. During the 7 days of flunixin administration, 11 ponies developed gastric ulcers that were appropriate for study. The 11 ponies were randomly allotted to 2 groups. Group-A (n = 5) and group-B (n = 6) p...
Gastric pH monitoring in healthy, suckling pony foals. 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 ...
Effect of sucralfate on healing of subclinical gastric ulcers in foals. The effect of sucralfate on healing of subclinical gastric ulcers and gastric inflammation was investigated in twelve 6- to 7-month-old foals. Foals with endoscopically evident gastric lesions on day 0 were assigned to 1 of 2 groups, on the basis of mucosal inflammation and number and severity of ulcers, to create groups of foals with approximately equal severity of lesions. None of these foals had clinical signs of gastroduodenal ulcer disease. Groups were assigned to receive sucralfate (22.0 mg/kg of body weight) or corn syrup for 14 days, PO, every 8 hours. On day 15, gastroscopic examinati...
Incarceration of the large colon in the gastrosplenic ligament of a horse. Incarceration of the large colon through a rent in the gastrosplenic ligament of a horse was surgically corrected via ventral midline celiotomy. Clinical signs were similar to those in other horses with nonstrangulating large colon disorders. Diagnosis of large colon incarceration in the gastrosplenic ligament was determined by surgical abdominal exploration. The findings of medial deviation of the spleen, location of the large colon lateral to the stomach and caudolateral to the spleen, and caudocraniad passage of the large colon through the gastrosplenic ligament are similar to findings in h...
Removal of nasogastric tube fragments from three horses. Three horses were admitted for retrieval of polyurethane nasogastric tube fragments. The fragments were removed from the esophagus or stomach of 2 horses by manipulation of a snare introduced through the biopsy port of an endoscope. The fragments were surgically removed from the stomach of the third horse.
Effect of the somatostatin analogue octreotide on gastric fluid pH in ponies. The effect of the somatostatin analogue, octreotide, on gastric fluid pH was investigated in 4 ponies. Gastric fluid pH was determined after SC administration of octreotide or physiologic saline solution (control). A baseline sample of fluid was obtained, the agent was given, and 8 additional samples were collected hourly. Administration of octreotide at all dosages tested (0.1, 0.5, 1.0, and 5.0 micrograms/kg of body weight) increased gastric pH to > 5.0. Baseline values were consistently 4.0 for 2.4 +/- 1.2, 4.8 +/- 0.8, 5.7 +/- 1.3, and 5.4 +/- 2.6 (mean +/- SD) continuous hours, respec...
Effect of a histamine H2 type receptor antagonist (WY 45, 727) on the healing of gastric ulcers in ponies. Using video gastroscopy, the efficacy of a Histamine-H2 type receptor antagonist (WY 45, 727) was investigated in young ponies with spontaneous and experimentally induced gastric ulcers. Oral administration of WY 45, 727 at 2 mg/kg and 10 mg/kg of body weight every 12 hours for 14 days resulted in complete healing of spontaneous gastric ulcers in the non-glandular portion of the stomach in 2/5 (40%) and 3/4 (75%) of the ponies, respectively, compared (P < 0.05) to 0/5 (0%) placebo-treated ponies. After intramuscular administration of flunixin meglumine at 1.5 mg/kg body weight every 8 hours fo...
Squamous cell carcinoma of the equine stomach: a report of five cases. Five horses with squamous cell carcinoma of the stomach are described. The clinical findings included anorexia, weight loss, abdominal distension, abnormal chewing and swallowing behaviour and abdominal masses palpable per rectum in four cases. Haematological studies revealed a normocytic anaemia in three horses, and neutrophilia and hypoalbuminaemia in two. Analysis of peritoneal fluid revealed abnormal effusions in all five horses and neoplastic cells were identified in three of them. The tumours originated in the cardia and metastases were present in all the horses. Three of them had many s...
The effects of famotidine, ranitidine and magnesium hydroxide/aluminium hydroxide on gastric fluid pH in adult horses. Gastric fluid pH was measured in five adult horses following nasogastric administration of famotidine, 0.5, 1.0, and 2.0 mg/kg bodyweight (bwt); ranitidine, 4.4 and 6.6 mg/kg bwt and an antacid containing magnesium hydroxide (40 mg/ml) and aluminium hydroxide (45 mg/ml), 120 and 180 ml. Fluid was aspirated through a 16 French nasogastric feeding tube at 15 min intervals, and pH was measured using a pH meter. Basal gastric fluid pH was measured at 20 min intervals for 6 h in each horse and, with the exception of two measurements of 4.66 and 4.17, ranged from 1.42 to 2.41, with a mean pH of 1.88...
Isolation of a major form of pepsinogen from gastric mucosa of horses. In mammalian species studied previously, pepsinogen consisted of biochemically different groups of isozymogens. By use of gel filtration chromatography and electrophoresis, we isolated a predominant pepsinogen from the gastric mucosa of a horse. Peptide mapping with V8 protease revealed differences with its porcine homologue. However, porcine and equine pepsinogens, when activated to pepsin, had a similar pattern of activity when hemoglobin was used as substrate. Those results suggest that differences must exist in the primary structure of the pepsinogens of the 2 species.
Basal and pentagastrin-stimulated gastric secretion in young horses. Equine gastric secretion was studied using a gastric cannula model after fasting (basal) and pentagastrin infusion. Gastric secretory rate, pH, osmolality, and electrolyte concentrations and outputs were determined over a 5-h period. Dose-response tests estimated that the maximally effective intravenous dose of pentagastrin was between 3 and 6 micrograms.kg-1.h-1. Basal secretory rate was 278 +/- 29 (SE) ml/15 min, and the pH was 2.00 +/- 0.31. Pentagastrin infusion at 6 micrograms.kg-1.h-1 increased secretory rate to 533 +/- 60 ml/15 min and decreased pH to 1.41 +/- 0.11. Basal gastric acid c...
The effects of phenylbutazone on the morphology and prostaglandin concentrations of the pyloric mucosa of the equine stomach. Phenylbutazone, a nonsteroidal anti-inflammatory drug known to produce gastric ulcers, was administered intravenously (13.46 mg/kg body weight) daily to 12 horses. Horses were euthanatized daily after 24, 48, 72, and 96 hours following the initial injection. Eight untreated horses served as controls. Small multifocal pyloric erosions were seen after 24 hours and then progressed in severity over time. The erosions were characterized by sloughing of the surface epithelium, subepithelial bleb formation, necrosis of the lamina propria, degeneration of the walls of subsurface capillaries, and micro...
Endoscopic evaluation of changes in gastric lesions of Thoroughbred foals. Gastroendoscopic examinations were conducted on thirty-two 2- to 60-day-old Thoroughbred foals on 5 breeding farms. Repeat gastroendoscopic examinations were performed 35 to 135 days after the initial examination, with the age of foals ranging from 39 to 190 days. On initial endoscopic examination, lesions consisting of ulcers and/or erosions were most prevalent in the stratified squamous epithelial mucosa adjacent to the margo plicatus along the greater curvature of the stomach (15 of 32 foals), and were observed much less frequently at other sites within the stomach. In addition to ulcers an...
Molecular forms of gastrin in antral mucosa of the horse. The predominant form of gastrin in the antral mucosa of the stomach of virtually all species previously examined is the 17 amino acid peptide little gastrin (G17). This report describes the occurrence in equine antral mucosa of an immunoreactive form of gastrin with elution properties on Sephadex G-50 superfine similar to human unsulfated big gastrin (G34-I). This putative equine big gastrin was a major component of the gastrin immunoreactivity present. A second peak of activity in equine antral mucosa eluted in an identical manner to human little gastrin (hG17-I). Inhibition curves of equine ...
[The occurrence of feed-induced stomach ulcers in horses]. Ponies were fed hay (n = 21) or mixed feed (n = 27; 128 g crude protein, 175 g crude fibre/kg dry matter) for at least 14 days (treatment against parasites with ivermectin before the experimental period). The feeding level was 18 g dry mater/kg body weight/day. After the feeding period (the experiments were conducted to investigate the water and electrolyte content of the alimentary tract in dependence on feed, feeding time and physical exercise) the ponies were slaughtered and the stomachs were visually controlled for the occurrence of ulcers. In the hay group no gastric ulcers were observed,...
Endoscopic appearance of gastric lesions in foals: 94 cases (1987-1988). Of 183 foals examined by use of gastroendoscopy during 1987 and 1988, 94 had gastric lesions. Sixty-eight of 120 foals in the 1- to 85-day-old age range had endoscopically confirmed gastric lesions, and 26 of 63 foals in the 90- to 310-day-old age range had gastric lesions. Lesions were observed most frequently in the stratified squamous mucosal epithelium, particularly adjacent to the margo plicatus. Lesions were observed in the gastric glandular mucosa in 26 of the 94 foals with gastric lesions, and with a greater frequency in foals with a clinical disorder than in foals with no disorder (27...
Upper gastrointestinal surgery for ulcer disease in foals. The goals of surgical therapy in foal gastroduodenal ulcer disease are the elimination of abdominal pain, healing of mucosal ulcerations, and prevention of complications. Gastrojejunostomy has been used with success in both pyloric and duodenal ulcerations that have progressed to gastric outflow obstruction. Gastrojejunostomy has resulted in rapid healing of gastritis and esophagitis and resolution of aspiration pneumonia and biliary stasis without recurrence of duodenal ulceration.
[Bilateral pleuritis following esophageal fistula in a horse as a complication of a Gasterophilus infection]. A six-year-old pregnant Haflinger mare of 510 kilograms died from bilateral pleurisy following a hospitalisation period of ten days, during which she was treated with various antibiotics. At necropsy a bilateral fibrinopurulent pleurisy accompanied by an ulceration of the cardia of the stomach measuring once cm2 was found. In the wall of the oesophagus, close to the cardia, there was a fistula harbouring a 3rd stage Gasterophilus larva. The epithelial layer at this site was unimpaired and no gross connection between the fistula and the ulceration of the cardia was observed. The fistula was in ...
