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Animals : an open access journal from MDPI2023; 13(15); 2518; doi: 10.3390/ani13152518

Effects of Bit Chewing on Gastric Emptying, Small Intestinal Transit, and Orocecal Transit Times in Clinically Normal Horses.

Abstract: Ileus is a common life-threatening problem in horses, and currently available treatments may be ineffective. The purpose of this study was to determine whether bit chewing, a form of sham feeding, decreases the gastric emptying time (GET), small intestinal transit time (SITT), and total orocecal transit time (OCTT) in clinically normal horses in a prospective crossover study. Nine healthy horses were acclimated and fed a standardized diet. Following 24 h of fasting, self-contained video endoscopy capsules and acetaminophen were administered into the stomach via a nasogastric tube. Each horse underwent experimental (bit chewing for 20 min every 6 h) or control (no bit chewing) conditions, with a 3-week minimum washout period between conditions. The horses were enrolled in either part of the study until all video capsules were retrieved and/or 30 days lapsed. The video capsules were recovered from manure, and GET, SITT, and OCTT were determined from a video analysis. Bit chewing significantly decreased OCTT ( = 0.015) compared to the control conditions. Bit chewing decreased GET and SITT, but the differences were not significant. The mean (median) times determined via the video capsule analysis for the bit-chewing conditions were as follows: GET, 2.34 h (2.86 h); SITT, 3.22 h (3.65 h); and OCTT, 5.13 h (6.15 h), and for the control conditions, they were as follows: GET, 3.93 h (5 h); SITT, 3.79 h (4.4 h); and OCTT, 8.02 h (9.92 h). Bit chewing decreased OCTT in healthy horses. Because this segment of the gastrointestinal tract is frequently affected by ileus, bit chewing may be a safe and inexpensive intervention for that condition in horses. Further investigation in clinical patients with ileus is warranted.
Publication Date: 2023-08-04 PubMed ID: 37570326PubMed Central: PMC10416828DOI: 10.3390/ani13152518Google Scholar: Lookup
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  • Journal Article

Summary

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The researchers aimed to determine the effects of bit chewing on various aspects of the digestion process in horses, such as gastric emptying time, small intestinal transit time, and total orocecal transit time. They discovered that bit chewing notably reduces overall orocecal transit time, suggesting a possible cost-effective intervention for the common and often fatal horse condition, ileus.

Objective

The objective of this study was to ascertain whether bit chewing, a simulated feeding behavior, influences digestion times in healthy horses. Possible improvement in digestion could present a low-cost and non-hazardous method in treating ileus, a severe and sometimes fatal condition in horses, which is usually resistant to treatment.

Methodology

  • Nine healthy horses were utilized for this study. They were acclimated and fed a standard diet.
  • After 24 hours of fasting, video endoscopy capsules and acetaminophen were administered into the stomach of the horses through nasogastric tubes.
  • Each horse underwent either experimental (bit chewing for 20 minutes every 6 hours) or control conditions (without bit chewing), with a minimum of 3 weeks washout period between the two conditions.
  • The experiment continued until all video capsules were retrieved and/or 30 days had passed.

Results

  • The video capsules were retrieved from the horses’ manure. Data from the video footage was used to assess the gastric emptying time (GET), small intestinal transit time (SITT), and total orocecal transit time (OCTT).
  • The study found that bit chewing significantly reduced the OCTT, compared to the control conditions.
  • Though bit chewing resulted in decreased GET and SITT, the differences were not statistically significant.
  • The mean times noted through video capsule analysis for the horses under the bit-chewing condition were: GET – 2.34 hours; SITT – 3.22 hours; OCTT – 5.13 hours. For horses under the control conditions, the noted times were: GET – 3.93 hours; SITT – 3.79 hours; OCTT – 8.02 hours.

Conclusion

The researchers concluded that bit chewing reduces OCTT in healthy horses. Given that this section of the gastrointestinal tract is frequently affected by ileus, bit chewing could offer an affordable and risk-free intervention for this condition in horses. They, therefore, recommend further investigation in clinical patients suffering from ileus.

Cite This Article

APA
Patton ME, Andrews FM, Bogers SH, Wong D, McKenzie HC, Werre SR, Byron CR. (2023). Effects of Bit Chewing on Gastric Emptying, Small Intestinal Transit, and Orocecal Transit Times in Clinically Normal Horses. Animals (Basel), 13(15), 2518. https://doi.org/10.3390/ani13152518

Publication

ISSN: 2076-2615
NlmUniqueID: 101635614
Country: Switzerland
Language: English
Volume: 13
Issue: 15
PII: 2518

Researcher Affiliations

Patton, Molly E
  • Department of Large Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, Virginia Tech, 205 Duck Pond Drive, Blacksburg, VA 24061, USA.
Andrews, Frank M
  • Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA 70803, USA.
Bogers, Sophie H
  • Department of Large Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, Virginia Tech, 205 Duck Pond Drive, Blacksburg, VA 24061, USA.
Wong, David
  • Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, 1800 Christensen Drive, Ames, IW 50011, USA.
McKenzie, Harold C
  • Department of Large Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, Virginia Tech, 205 Duck Pond Drive, Blacksburg, VA 24061, USA.
Werre, Stephen R
  • Laboratory for Study Design and Statistical Analysis, Virginia-Maryland College of Veterinary Medicine, Virginia Tech, 205 Duck Pond Drive, Blacksburg, VA 24061, USA.
Byron, Christopher R
  • Department of Large Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, Virginia Tech, 205 Duck Pond Drive, Blacksburg, VA 24061, USA.

Grant Funding

  • N/A / Virginia-Maryland College of Veterinary Medicine Equine Research Competition Grant

Conflict of Interest Statement

The authors declare no conflict of interest.

References

This article includes 27 references
  1. Torfs S, Delesalle C, Dewulf J, Devisscher L, Deprez P. Risk factors for equine postoperative ileus and effectiveness of prophylactic lidocaine.. J Vet Intern Med 2009 May-Jun;23(3):606-11.
  2. Cohen ND, Lester GD, Sanchez LC, Merritt AM, Roussel AJ Jr. Evaluation of risk factors associated with development of postoperative ileus in horses.. J Am Vet Med Assoc 2004 Oct 1;225(7):1070-8.
    doi: 10.2460/javma.2004.225.1070pubmed: 15515986google scholar: lookup
  3. Holcombe SJ, Rodriguez KM, Haupt JL, Campbell JO, Chaney KP, Sparks HD, Hauptman JG. Prevalence of and risk factors for postoperative ileus after small intestinal surgery in two hundred and thirty-three horses.. Vet Surg 2009 Apr;38(3):368-72.
  4. Salem SE, Proudman CJ, Archer DC. Has intravenous lidocaine improved the outcome in horses following surgical management of small intestinal lesions in a UK hospital population?. BMC Vet Res 2016 Jul 27;12(1):157.
    doi: 10.1186/s12917-016-0784-7pmc: PMC4962447pubmed: 27459996google scholar: lookup
  5. Roussel AJ Jr, Cohen ND, Hooper RN, Rakestraw PC. Risk factors associated with development of postoperative ileus in horses.. J Am Vet Med Assoc 2001 Jul 1;219(1):72-8.
    doi: 10.2460/javma.2001.219.72pubmed: 11439775google scholar: lookup
  6. Durket E, Gillen A, Kottwitz J, Munsterman A. Meta-analysis of the effects of lidocaine on postoperative reflux in the horse.. Vet Surg 2020 Jan;49(1):44-52.
    doi: 10.1111/vsu.13286pubmed: 31290164google scholar: lookup
  7. Lisowski ZM, Pirie RS, Blikslager AT, Lefebvre D, Hume DA, Hudson NPH. An update on equine post-operative ileus: Definitions, pathophysiology and management.. Equine Vet J 2018 May;50(3):292-303.
    doi: 10.1111/evj.12801pubmed: 29281117google scholar: lookup
  8. Salem SE, Proudman CJ, Archer DC. Prevention of post operative complications following surgical treatment of equine colic: Current evidence.. Equine Vet J 2016 Mar;48(2):143-51.
    doi: 10.1111/evj.12517pubmed: 26440916google scholar: lookup
  9. Freeman D. Post-operative reflux—A surgeon’s perspective.. Equine Vet. Educ. 2017;30:671–680.
    doi: 10.1111/eve.12735google scholar: lookup
  10. Lassen K, Soop M, Nygren J, Cox PB, Hendry PO, Spies C, von Meyenfeldt MF, Fearon KC, Revhaug A, Norderval S, Ljungqvist O, Lobo DN, Dejong CH. Consensus review of optimal perioperative care in colorectal surgery: Enhanced Recovery After Surgery (ERAS) Group recommendations.. Arch Surg 2009 Oct;144(10):961-9.
    doi: 10.1001/archsurg.2009.170pubmed: 19841366google scholar: lookup
  11. Noble EJ, Harris R, Hosie KB, Thomas S, Lewis SJ. Gum chewing reduces postoperative ileus? A systematic review and meta-analysis.. Int J Surg 2009 Apr;7(2):100-5.
    doi: 10.1016/j.ijsu.2009.01.006pubmed: 19261555google scholar: lookup
  12. Byrne CM, Zahid A, Young JM, Solomon MJ, Young CJ. Gum chewing aids bowel function return and analgesic requirements after bowel surgery: a randomized controlled trial.. Colorectal Dis 2018 May;20(5):438-448.
    doi: 10.1111/codi.13930pubmed: 29053219google scholar: lookup
  13. Liu Q, Jiang H, Xu D, Jin J. Effect of gum chewing on ameliorating ileus following colorectal surgery: A meta-analysis of 18 randomized controlled trials.. Int J Surg 2017 Nov;47:107-115.
    doi: 10.1016/j.ijsu.2017.07.107pubmed: 28867465google scholar: lookup
  14. Su'a BU, Pollock TT, Lemanu DP, MacCormick AD, Connolly AB, Hill AG. Chewing gum and postoperative ileus in adults: a systematic literature review and meta-analysis.. Int J Surg 2015 Feb;14:49-55.
    doi: 10.1016/j.ijsu.2014.12.032pubmed: 25576763google scholar: lookup
  15. Giusto G, Pagliara E, Gandini M. Effects of Bit Chewing on Right Upper Quadrant Intestinal Sound Frequency in Adult Horses.. J. Equine Vet. Sci. 2014;34:520–523.
  16. Patton ME, Leise BS, Baker RE, Andrews FM. The effects of bit chewing on borborygmi, duodenal motility, and gastrointestinal transit time in clinically normal horses.. Vet Surg 2022 Jan;51(1):88-96.
    doi: 10.1111/vsu.13745pubmed: 34775623google scholar: lookup
  17. Steinmann M, Bezugley RJ, Bond SL, Pomrantz JS, Léguillette R. A wireless endoscopy capsule suitable for imaging of the equine stomach and small intestine.. J Vet Intern Med 2020 Jul;34(4):1622-1630.
    doi: 10.1111/jvim.15825pmc: PMC7379013pubmed: 32511848google scholar: lookup
  18. Doherty TJ, Andrews FM, Provenza MK, Frazier DL. Acetaminophen as a marker of gastric emptying in ponies.. Equine Vet J 1998 Jul;30(4):349-51.
  19. Richardson CT, Walsh JH, Cooper KA, Feldman M, Fordtran JS. Studies on the role of cephalic-vagal stimulation in the acid secretory response to eating in normal human subjects.. J Clin Invest 1977 Aug;60(2):435-41.
    doi: 10.1172/JCI108793pmc: PMC372385pubmed: 874101google scholar: lookup
  20. Mercer MA, McKenzie HC, Davis JL, Wilson KE, Hodgson DR, Cecere TE, McIntosh BJ. Pharmacokinetics and safety of repeated oral dosing of acetaminophen in adult horses.. Equine Vet J 2020 Jan;52(1):120-125.
    doi: 10.1111/evj.13112pubmed: 30900298google scholar: lookup
  21. Mercer MA, McKenzie HC, Byron CR, Pleasant RS, Bogers SH, Council-Troche RM, Werre SR, Burns T, Davis JL. Pharmacokinetics and clinical efficacy of acetaminophen (paracetamol) in adult horses with mechanically induced lameness.. Equine Vet J 2023 May;55(3):524-533.
    doi: 10.1111/evj.13601pubmed: 35633196google scholar: lookup
  22. Wong DM, Davis JL, White NA. Motility of the equine gastrointestinal tract: Physiology and pharmacotherapy.. Equine Vet. Educ. 2011;23:88–100.
  23. Okamura K, Sasaki N, Yamada M, Yamada H, Inokuma H. Effects of mosapride citrate, metoclopramide hydrochloride, lidocaine hydrochloride, and cisapride citrate on equine gastric emptying, small intestinal and caecal motility.. Res Vet Sci 2009 Apr;86(2):302-8.
    doi: 10.1016/j.rvsc.2008.07.008pubmed: 18723200google scholar: lookup
  24. Marti M, Mevissen M, Althaus H, Steiner A. In vitro effects of bethanechol on equine gastrointestinal contractility and functional characterization of involved muscarinic receptor subtypes.. J Vet Pharmacol Ther 2005 Dec;28(6):565-74.
  25. Koenig JB, Cote N, LaMarre J, Harris WH, Trout DR, Kenney DG, Monteith G. Binding of radiolabeled porcine motilin and erythromycin lactobionate to smooth muscle membranes in various segments of the equine gastrointestinal tract.. Am J Vet Res 2002 Nov;63(11):1545-50.
    doi: 10.2460/ajvr.2002.63.1545pubmed: 12428665google scholar: lookup
  26. Helman CA. Chewing gum is as effective as food in stimulating cephalic phase gastric secretion.. Am J Gastroenterol 1988 Jun;83(6):640-2.
    pubmed: 3376919
  27. Lohmann KL, Roussel AJ, Cohen ND, Boothe DM, Rakestraw PC, Walker MA. Comparison of nuclear scintigraphy and acetaminophen absorption as a means of studying gastric emptying in horses.. Am J Vet Res 2000 Mar;61(3):310-5.
    doi: 10.2460/ajvr.2000.61.310pubmed: 10714524google scholar: lookup

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