Analyze Diet
Animals : an open access journal from MDPI2023; 13(9); 1498; doi: 10.3390/ani13091498

Changes in Management Lead to Improvement and Healing of Equine Squamous Gastric Disease.

Abstract: 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 scores were 3.57 and 3.36 for the supplement and control group, respectively. After 4 weeks, the ESGD grades were significantly reduced in both groups (1.89 and 1.43, respectively, < 0.01), and healing (ESGD < 2) occurred in 7 out of 14 horses. No treatment effect was observed ( = 0.75), and it was concluded that the change in husbandry overshadowed any potential effect of the compound. Severe ESGD can improve, and even heal, with the provision of a diet of ad libitum forage and a small amount of a compound complementary feed, without the use of omeprazole. A predictable daily routine, with a limited number of dedicated caretakers, may have contributed to the improvement of gastric health.
Publication Date: 2023-04-28 PubMed ID: 37174535PubMed Central: PMC10177505DOI: 10.3390/ani13091498Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research investigates the impact of changes in management on the improvement and healing of Equine Squamous Gastric Disease in horses. The study suggests that severe ESGD can improve and even heal with the adoption of a specific diet and routine, without the use of common medication, omeprazole.

Background of the Study

  • Equine Squamous Gastric Disease (ESGD) is a common welfare problem in horses.
  • There a several identified risk factors and it’s routinely treated with omeprazole.
  • A group of fourteen mares previously used as embryo recipients and diagnosed with ESGD were selected for the study.

Study Design and Methodology

  • The experiment involved two groups of horses – one receiving a supplement containing hydrolysed collagen and the other acting as the control group without any special nutrition.
  • All horses were confined to individual stalls, exercised once daily, and fed hay, a low-starch compound complementary feed, and a mineral supplement.
  • The groups were compared based on their ESGD scores at the start of the study.

Results and Findings

  • After 4 weeks, there were significant reductions in ESGD grades in both the supplement and control groups.
  • Seven out of fourteen horses showed clear signs of healing and improvement.
  • No treatment effect was noticed, which led to the conclusion that changes in environmental conditions overshadowed any potential effect of the supplement.

Conclusions of the Research

  • The research concluded that handling severe ESGD might not necessarily require the use of omeprazole.
  • By adjusting diet to include ad libitum forage and a small amount of complementary feed, coupled with a predictable daily routine, ESGD could improve and even heal.
  • The contribution of a limited number of dedicated caretakers could play a key role in improving the gastric health of horses.

Cite This Article

APA
Kranenburg LC, van der Poel SH, Warmelink TS, van Doorn DA, van den Boom R. (2023). Changes in Management Lead to Improvement and Healing of Equine Squamous Gastric Disease. Animals (Basel), 13(9), 1498. https://doi.org/10.3390/ani13091498

Publication

ISSN: 2076-2615
NlmUniqueID: 101635614
Country: Switzerland
Language: English
Volume: 13
Issue: 9
PII: 1498

Researcher Affiliations

Kranenburg, Lieuwke C
  • Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Yalelaan 112, 3584 CM Utrecht, The Netherlands.
van der Poel, Simone Henriëtte
  • Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Yalelaan 112, 3584 CM Utrecht, The Netherlands.
Warmelink, Tim Sebastiaan
  • Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Yalelaan 112, 3584 CM Utrecht, The Netherlands.
van Doorn, David Anthonie
  • Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Yalelaan 112, 3584 CM Utrecht, The Netherlands.
van den Boom, Robin
  • Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Yalelaan 112, 3584 CM Utrecht, The Netherlands.

Grant Funding

  • n/a / Darling Ingredients Inc., Irving USA, in cooperation with Voermeesters B.V., Lienden, the Netherlands.

Conflict of Interest Statement

The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results.

References

This article includes 52 references
  1. Sykes BW, Hewetson M, Hepburn RJ, Luthersson N, Tamzali Y. European College of Equine Internal Medicine Consensus Statement--Equine Gastric Ulcer Syndrome in Adult Horses.. J Vet Intern Med 2015 Sep-Oct;29(5):1288-99.
    doi: 10.1111/jvim.13578pmc: PMC4858038pubmed: 26340142google scholar: lookup
  2. Ward S, Sykes BW, Brown H, Bishop A, Penaluna LA. A comparison of the prevalence of gastric ulceration in feral and domesticated horses in the UK.. Equine Vet. Educ. 2015;27:655–657.
    doi: 10.1111/eve.12491google scholar: lookup
  3. van den Boom R. Equine gastric ulcer syndrome in adult horses.. Vet J 2022 May-Jun;283-284:105830.
    doi: 10.1016/j.tvjl.2022.105830pubmed: 35472513google scholar: lookup
  4. Tamzali Y, Marguet C, Priymenko N, Lyazrhi F. Prevalence of gastric ulcer syndrome in high-level endurance horses.. Equine Vet J 2011 Mar;43(2):141-4.
  5. Luthersson N, Nielsen KH, Harris P, Parkin TD. The prevalence and anatomical distribution of equine gastric ulceration syndrome (EGUS) in 201 horses in Denmark.. Equine Vet J 2009 Sep;41(7):619-24.
    doi: 10.2746/042516409X441910pubmed: 19927578google scholar: lookup
  6. Bell RJ, Kingston JK, Mogg TD, Perkins NR. The prevalence of gastric ulceration in racehorses in New Zealand.. N Z Vet J 2007 Feb;55(1):13-8.
    doi: 10.1080/00480169.2007.36729pubmed: 17339911google scholar: lookup
  7. Luthersson N, Nielsen KH, Harris P, Parkin TD. Risk factors associated with equine gastric ulceration syndrome (EGUS) in 201 horses in Denmark.. Equine Vet J 2009 Sep;41(7):625-30.
    doi: 10.2746/042516409X441929pubmed: 19927579google scholar: lookup
  8. Murray MJ, Grodinsky C, Anderson CW, Radue PF, Schmidt GR. Gastric ulcers in horses: a comparison of endoscopic findings in horses with and without clinical signs.. Equine Vet J Suppl 1989 Jun;(7):68-72.
  9. Colombino E, Raspa F, Perotti M, Bergero D, Vervuert I, Valle E, Capucchio MT. Gut health of horses: effects of high fibre vs high starch diet on histological and morphometrical parameters.. BMC Vet Res 2022 Sep 8;18(1):338.
    doi: 10.1186/s12917-022-03433-ypmc: PMC9454146pubmed: 36076239google scholar: lookup
  10. Vatistas NJ, Sifferman RL, Holste J, Cox JL, Pinalto G, Schultz KT. Induction and maintenance of gastric ulceration in horses in simulated race training.. Equine Vet J Suppl 1999 Apr;(29):40-4.
  11. Andrews FM, Buchanan BR, Smith SH, Elliott SB, Saxton AM. In vitro effects of hydrochloric acid and various concentrations of acetic, propionic, butyric, or valeric acids on bioelectric properties of equine gastric squamous mucosa.. Am J Vet Res 2006 Nov;67(11):1873-82.
    doi: 10.2460/ajvr.67.11.1873pubmed: 17078749google scholar: lookup
  12. Andrews FM, Buchanan BR, Elliott SB, Al Jassim RA, McGowan CM, Saxton AM. In vitro effects of hydrochloric and lactic acids on bioelectric properties of equine gastric squamous mucosa.. Equine Vet J 2008 Jun;40(4):301-5.
    doi: 10.2746/042516408X293565pubmed: 18321809google scholar: lookup
  13. Lorenzo-Figueras M, Merritt AM. Effects of exercise on gastric volume and pH in the proximal portion of the stomach of horses.. Am J Vet Res 2002 Nov;63(11):1481-7.
    doi: 10.2460/ajvr.2002.63.1481pubmed: 12428654google scholar: lookup
  14. Galinelli N, Wambacq W, Broeckx BJG, Hesta M. High intake of sugars and starch, low number of meals and low roughage intake are associated with Equine Gastric Ulcer Syndrome in a Belgian cohort.. J Anim Physiol Anim Nutr (Berl) 2021 Nov;105 Suppl 2:18-23.
    doi: 10.1111/jpn.13215pubmed: 31637798google scholar: lookup
  15. Chameroy KA, Nadeau JA, Bushmich SL, Dinger JE, Hoagland TA, Saxton AM. Prevalence of Non-Glandular Gastric Ulcers in Horses Involved in a University Riding Program.. J. Equine Vet. Sci. 2006;26:207–211.
  16. Padalino B, Raidal SL. Effects of Transport Conditions on Behavioural and Physiological Responses of Horses.. Animals (Basel) 2020 Jan 17;10(1).
    doi: 10.3390/ani10010160pmc: PMC7022509pubmed: 31963529google scholar: lookup
  17. Buchanan BR, Andrews FM. Treatment and prevention of equine gastric ulcer syndrome.. Vet Clin North Am Equine Pract 2003 Dec;19(3):575-97.
    doi: 10.1016/j.cveq.2003.08.012pubmed: 14740758google scholar: lookup
  18. Nicol CJ, Davidson HP, Harris PA, Waters AJ, Wilson AD. Study of crib-biting and gastric inflammation and ulceration in young horses.. Vet Rec 2002 Nov 30;151(22):658-62.
    doi: 10.1136/vr.151.22.658pubmed: 12498408google scholar: lookup
  19. Sykes BW, Bowen M, Habershon-Butcher JL, Green M, Hallowell GD. Management factors and clinical implications of glandular and squamous gastric disease in horses.. J Vet Intern Med 2019 Jan;33(1):233-240.
    doi: 10.1111/jvim.15350pmc: PMC6335573pubmed: 30499188google scholar: lookup
  20. Daniels SP, Scott L, De Lavis I, Linekar A, Hemmings AJ. Crib biting and equine gastric ulceration syndrome: Do horses that display oral stereotypies have altered gastric anatomy and physiology?. J. Vet. Behav. 2019;30:110–113.
  21. Shawaf T, El-Deeb WM, Elgioushy M. The Contribution of Specific and Nonspecific Biomarkers in Diagnosis of Equine Gastric Ulcer Syndrome (EGUS) Under Field Condition.. J Equine Vet Sci 2020 Jan;84:102853.
    doi: 10.1016/j.jevs.2019.102853pubmed: 31864460google scholar: lookup
  22. Prinsloo M, Hynd P, Franklin S, Weaver S, van den Boom R. Hair cortisol concentration is inversely related to the severity of equine squamous gastric disease.. Vet J 2019 Jul;249:58-59.
    doi: 10.1016/j.tvjl.2019.05.009pubmed: 31239166google scholar: lookup
  23. Gardela J, Carbajal A, Tallo-Parra O, Olvera-Maneu S, Álvarez-Rodríguez M, Jose-Cunilleras E, López-Béjar M. Temporary Relocation during Rest Periods: Relocation Stress and Other Factors Influence Hair Cortisol Concentrations in Horses.. Animals (Basel) 2020 Apr 8;10(4).
    doi: 10.3390/ani10040642pmc: PMC7222751pubmed: 32276388google scholar: lookup
  24. Mönki J, Hewetson M, Virtala AM. Risk Factors for Equine Gastric Glandular Disease: A Case-Control Study in a Finnish Referral Hospital Population.. J Vet Intern Med 2016 Jul;30(4):1270-5.
    doi: 10.1111/jvim.14370pmc: PMC5108429pubmed: 27461724google scholar: lookup
  25. Murray MJ, Eichorn ES. Effects of intermittent feed deprivation, intermittent feed deprivation with ranitidine administration, and stall confinement with ad libitum access to hay on gastric ulceration in horses.. Am J Vet Res 1996 Nov;57(11):1599-603.
    pubmed: 8915437
  26. McGowan C, McGowan T, Andrews F, Al Jassim R. Induction and recovery of dietary induced gastric ulcers in horses.. J. Vet. Int. Med. 2007;2:603.
  27. le Jeune SS, Nieto JE, Dechant JE, Snyder JR. Prevalence of gastric ulcers in Thoroughbred broodmares in pasture: a preliminary report.. Vet J 2009 Sep;181(3):251-5.
    doi: 10.1016/j.tvjl.2008.03.020pubmed: 18511313google scholar: lookup
  28. Murray MJ, Schusser GF, Pipers FS, Gross SJ. Factors associated with gastric lesions in thoroughbred racehorses.. Equine Vet J 1996 Sep;28(5):368-74.
  29. Andrews FM, Bernard W, Byars D, Cohen N, Divers T, MacAllister A, McGladdery A, Merritt A, Murray M, Orsini J. Recommendation for the diagnosis and treatment of equine gastric ulcer syndrome (EGUS). Equine Vet. Educ. 1999;11:262–272.
  30. Murray MJ, Haven ML, Eichorn ES, Zhang D, Eagleson J, Hickey GJ. Effects of omeprazole on healing of naturally-occurring gastric ulcers in thoroughbred racehorses.. Equine Vet J 1997 Nov;29(6):425-9.
  31. Bush J, van den Boom R, Franklin S. Comparison of aloe vera and omeprazole in the treatment of equine gastric ulcer syndrome.. Equine Vet J 2018 Jan;50(1):34-40.
    doi: 10.1111/evj.12706pubmed: 28555939google scholar: lookup
  32. Sykes BW. A free ride: Is long-term omeprazole therapy safe and effective?. Equine Vet. Educ. 2021;33:556–560.
    doi: 10.1111/eve.13458google scholar: lookup
  33. Castro GA, Sgarbieri VC, Carvalho JE, Tinti SV, Possenti A. Protective effect of collagen derivates on the ulcerative lesions caused by oral administration of ethanol.. J Med Food 2007 Mar;10(1):154-8.
    doi: 10.1089/jmf.2006.262pubmed: 17472480google scholar: lookup
  34. Bakaeva ZV, Sangadzhieva AD, Tani S, Myasoedov NF, Andreeva LA, Torshin VI, Wallace JL, Tanaka T. Glyprolines exert protective and repair-promoting effects in the rat stomach: potential role of the cytokine GRO/CINC-1.. J Physiol Pharmacol 2016 Apr;67(2):253-60.
    pubmed: 27226185
  35. Sugihara F, Inoue N, Venkateswarathirukumara S. Ingestion of bioactive collagen hydrolysates enhanced pressure ulcer healing in a randomized double-blind placebo-controlled clinical study.. Sci Rep 2018 Jul 30;8(1):11403.
    doi: 10.1038/s41598-018-29831-7pmc: PMC6065362pubmed: 30061579google scholar: lookup
  36. Song H, Li B. Beneficial effects of collagen hydrolysate: A review on recent developments.. Biomed. J. Sci. Technol. Res. 2017;1:1–4.
  37. Bakaeva ZV, Ermakova NV, Mankaeva OV, Sveshnikov DS, Severin AE, Sinel'nikova AN, Starshinov YP, Radysh IV, Torshin VI, Frolov DA, Kozlov IG. Collagen Hydrolysis Products Reduce the Formation of Stress-Induced Ulcers by Regulating Stress-Associated Activation of the Neuroendocrine and Immune Systems.. Bull Exp Biol Med 2018 Aug;165(4):449-452.
    doi: 10.1007/s10517-018-4191-xpubmed: 30120664google scholar: lookup
  38. Ohara H, Matsumoto H, Ito K, Iwai K, Sato K. Comparison of quantity and structures of hydroxyproline-containing peptides in human blood after oral ingestion of gelatin hydrolysates from different sources.. J Agric Food Chem 2007 Feb 21;55(4):1532-5.
    doi: 10.1021/jf062834spubmed: 17253720google scholar: lookup
  39. Camacho-Luna P, Andrews FM, Keowen ML, Garza Jr F, Liu C-C, Lamp B, Olijve J. The effect of porcine hydrolysed collagen on gastric ulcer scores, gastric juice pH, gastrin and amino acid concentrations in horses.. Equine Vet. Educ. 2022;34:248–257.
    doi: 10.1111/eve.13409google scholar: lookup
  40. Lamglait B, Vandenbunder-Beltrame M, Trunet E, Lemberger K. DESCRIPTION OF GASTRIC ULCERS AND OF THEIR SUSPECTED, ASSOCIATED RISK FACTORS IN DECEASED WILD EQUIDS AT THE RÉSERVE AFRICAINE DE SIGEAN, FRANCE (2010-2016).. J Zoo Wildl Med 2017 Sep;48(3):668-674.
    doi: 10.1638/2016-0249.1pubmed: 28920797google scholar: lookup
  41. Woodward MC, Huff NK, Garza F Jr, Keowen ML, Kearney MT, Andrews FM. Effect of pectin, lecithin, and antacid feed supplements (Egusin®) on gastric ulcer scores, gastric fluid pH and blood gas values in horses.. BMC Vet Res 2014;10 Suppl 1(Suppl 1):S4.
    doi: 10.1186/1746-6148-10-S1-S4pmc: PMC4123152pubmed: 25238454google scholar: lookup
  42. Luthersson N, Bolger C, Fores P, Barfoot C, Nelson S, Parkin T, Harris P. Effect of Changing Diet on Gastric Ulceration in Exercising Horses and Ponies After Cessation of Omeprazole Treatment.. J Equine Vet Sci 2019 Dec;83:102742.
    doi: 10.1016/j.jevs.2019.05.007pubmed: 31791527google scholar: lookup
  43. Hoffman RM. Equine Applied and Clinical Nutrition.. .
  44. Sufit E, Houpt KA, Sweeting M. Physiological stimuli of thirst and drinking patterns in ponies.. Equine Vet J 1985 Jan;17(1):12-6.
  45. Sauer FJ, Bruckmaier RM, Ramseyer A, Vidondo B, Scheidegger MD, Gerber V. Diagnostic accuracy of post-ACTH challenge salivary cortisol concentrations for identifying horses with equine glandular gastric disease.. J Anim Sci 2018 Jun 4;96(6):2154-2161.
    doi: 10.1093/jas/sky074pmc: PMC6095231pubmed: 29762691google scholar: lookup
  46. Scheidegger MD, Gerber V, Bruckmaier RM, van der Kolk JH, Burger D, Ramseyer A. Increased adrenocortical response to adrenocorticotropic hormone (ACTH) in sport horses with equine glandular gastric disease (EGGD).. Vet J 2017 Oct;228:7-12.
    doi: 10.1016/j.tvjl.2017.09.002pubmed: 29153110google scholar: lookup
  47. Malmkvist J, Poulsen JM, Luthersson N, Palme R, Christensen JW, Søndergaard E. Behaviour and stress responses in horses with gastric ulceration.. Appl. Anim. Behav. Sci. 2012;142:160–167.
  48. Visser EK, Van Reenen CG, Hopster H, Schilder MBH, Knaap JH, Barneveld A, Blokhuis HJ. Quantifying aspects of young horses’ temperament: Consistency of behavioural variables.. Appl. Anim. Behav. Sci. 2001;74:241–258.
  49. Visser EK, Van Reenen CG, Rundgren M, Zetterqvist M, Morgan K, Blokhuis HJ. Responses of horses in behavioural tests correlate with temperament assessed by riders.. Equine Vet J 2003 Mar;35(2):176-83.
    doi: 10.2746/042516403776114108pubmed: 12638795google scholar: lookup
  50. Stachurska A, Wiśniewska A, Kędzierski W, Różańska-Boczula M, Janczarek I. Behavioural and Physiological Changes in a Herd of Arabian Mares after the Separation of Individuals Differently Ranked within the Dominance Hierarchy.. Animals (Basel) 2021 Sep 14;11(9).
    doi: 10.3390/ani11092694pmc: PMC8465873pubmed: 34573660google scholar: lookup
  51. Sigurjónsdóttir H, Haraldsson H. Significance of Group Composition for the Welfare of Pastured Horses.. Animals (Basel) 2019 Jan 5;9(1).
    doi: 10.3390/ani9010014pmc: PMC6356279pubmed: 30621272google scholar: lookup
  52. Van Dierendonck MC, Sigurjónsdóttir H, Colenbrander B, Thorhallsdóttir AG. Differences in social behaviour between late pregnant, post-partum and barren mares in a herd of Icelandic horses.. Appl. Anim. Behav. Sci. 2004;89:283–297.

Citations

This article has been cited 3 times.
  1. Frippiat T, Bonhomme M, Dyson S, Votion DM. Evaluation of Owner-Reported Clinical Signs and Fecal Occult Blood Tests as Predictors of Equine Gastric Ulcer Syndrome in Competition Dressage Horses. J Vet Intern Med 2025 Nov-Dec;39(6):e70248.
    doi: 10.1111/jvim.70248pubmed: 41055229google scholar: lookup
  2. Irving J, Pineau V, Shultz S, Ter Woort F, Julien F, Lambey S, van Erck-Westergren E. Impact of Low-Starch Dietary Modifications on Faecal Microbiota Composition and Gastric Disease Scores in Performance Horses. Animals (Basel) 2025 Jun 28;15(13).
    doi: 10.3390/ani15131908pubmed: 40646806google scholar: lookup
  3. Busechian S, Bindi F, Orvieto S, Zappulla F, Marchesi MC, Nisi I, Rueca F. Prevalence and Risk Factors for the Presence of Gastric Ulcers in Pleasure and Breeding Horses in Italy. Animals (Basel) 2024 Jun 17;14(12).
    doi: 10.3390/ani14121806pubmed: 38929425google scholar: lookup