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The Veterinary clinics of North America. Equine practice2018; 34(1); 169-180; doi: 10.1016/j.cveq.2017.11.012

Enteral/Parenteral Nutrition in Foals and Adult Horses Practical Guidelines for the Practitioner.

Abstract: Nutritional support is an important adjunct to medical therapy in the sick, injured, or debilitated equine patient. What is not clear is the optimal route, composition, or amounts of support. The enteral route should be chosen whenever possible to maximize the benefits to the gastrointestinal tract and the patient as a whole. Complete or partial parenteral nutrition is most useful as a bridge during recovery and transition to enteral feeding in the horse. The reader is encouraged to consider nutritional support whether enteral or parenteral in any anorexic, chronically debilitated, or sick equine patient.
Publication Date: 2018-02-14 PubMed ID: 29426711DOI: 10.1016/j.cveq.2017.11.012Google Scholar: Lookup
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Summary

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The research article focuses on the relevance of nutritional support in aiding the healing process for sick or injured horses, and provides practical guidelines for practitioners. It discusses the best ways to administer feed—for instance, whether orally or by injection—and the ideal food components and proportions to be given to both foals and adult horses, based on their particular health conditions.

Nutritional Support Importance

  • This study emphasizes the vital role that nutritional support plays in medicinal therapy for equines experiencing illness, injury, or overall debility. Ensuring that these horses receive a balanced and beneficial diet can greatly enhance their recovery process.
  • However, the guidelines for the optimal method of administration, the best diet composition, and the proper food amounts are not explicitly defined, making this a key knowledge gap that the research attempts to address.

Enteral vs Parenteral Nutrition

  • The paper advocates for enteral nutrition, which is the administration of food via the digestive tract (often via a tube inserted into the horse’s stomach) whenever possible. This is due to the benefits it presents not only to the patient’s digestive system but also to the patient’s overall health.
  • Complete or partial parenteral nutrition, which involves feeding the horse by injecting nutrients directly into its bloodstream, is seen as most useful during recovery phases where the patient is transitioning back to normal enteral feeding.
  • It is important to note that the choice between enteral and parenteral feeding largely depends on the horse’s condition and its ability to ingest food normally. Therefore, a thorough assessment of the equine’s health status is necessary to make the best decision.

Practical Guidelines for Practitioners

  • The research emphasizes the need for practitioners to consider nutritional support for any horse that is not eating, has been ill for a long time, or is generally unwell.
  • This provides evidence that nutrition is an integral part of veterinary medicine and should not be overlooked. As such, there are practical guidelines for practitioners to follow when providing nutritional support to equines, ensuring the best possible outcomes.

Cite This Article

APA
Carr EA. (2018). Enteral/Parenteral Nutrition in Foals and Adult Horses Practical Guidelines for the Practitioner. Vet Clin North Am Equine Pract, 34(1), 169-180. https://doi.org/10.1016/j.cveq.2017.11.012

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 34
Issue: 1
Pages: 169-180
PII: S0749-0739(17)30925-2

Researcher Affiliations

Carr, Elizabeth A
  • Department Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, D202 VMC, 736 Wilson Road, East Lansing, MI 48824-1314, USA. Electronic address: carre@msu.edu.

MeSH Terms

  • Animals
  • Enteral Nutrition / veterinary
  • Horse Diseases / metabolism
  • Horse Diseases / therapy
  • Horses
  • Nutritional Requirements
  • Parenteral Nutrition / veterinary
  • Practice Guidelines as Topic
  • Starvation / diet therapy
  • Starvation / veterinary
  • Veterinary Medicine

Citations

This article has been cited 5 times.
  1. Melo UP, Palhares MS, Ferreira C, Leme FOP, Gheller VA. Effects of total parenteral nutrition associated with glutamine, enteral fluid therapy with or without glutamine, and fluid therapy on the acid-base and electrolyte balance of horses starved after exploratory laparotomy. Braz J Vet Med 2022;44:e003222.
    doi: 10.29374/2527-2179.bjvm003222pubmed: 36284629google scholar: lookup
  2. Daradics Z, Crecan CM, Rus MA, Morar IA, Mircean MV, Cătoi AF, Cecan AD, Cătoi C. Obesity-Related Metabolic Dysfunction in Dairy Cows and Horses: Comparison to Human Metabolic Syndrome. Life (Basel) 2021 Dec 16;11(12).
    doi: 10.3390/life11121406pubmed: 34947937google scholar: lookup
  3. Crabtree NE, Epstein KL. Current Concepts in Fluid Therapy in Horses. Front Vet Sci 2021;8:648774.
    doi: 10.3389/fvets.2021.648774pubmed: 33855057google scholar: lookup
  4. Chow RS. Terms, Definitions, Nomenclature, and Routes of Fluid Administration. Front Vet Sci 2020;7:591218.
    doi: 10.3389/fvets.2020.591218pubmed: 33521077google scholar: lookup
  5. Ferreira C, Palhares MS, de Melo UP, Leme FOP, Maranhão RPA, Garcia HC, Gheller VA. Effects of total parenteral nutrition and electrolyte solutions with or without glutamine on the hormonal profiles of horses subjected to exploratory laparotomy. Braz J Vet Med 2026;48:e005725.
    doi: 10.29374/2527-2179.bjvm005725pubmed: 41550891google scholar: lookup