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Preventive veterinary medicine2021; 188; 105285; doi: 10.1016/j.prevetmed.2021.105285

Evaluation of a questionnaire to detect the risk of developing ESGD or EGGD in horses.

Abstract: Equine gastric ulcer syndrome (EGUS) affects various categories of horses worldwide. This syndrome is now divided into two different diseases, based on the presence of lesions on either the squamous (Equine Squamous Gastric Disease, ESGD) or the glandular (Equine Glandular Gastric Disease, EGGD) mucosa. Diagnosis is based on the evaluation of the presence of gastric lesions with gastroscopic examination. As a gastroscopy can be considered expensive by clients, therapy is started often on the basis of clinical signs only. The aim of this study was to validate a questionnaire to detect the risk of developing ESGD or EGGD. The owners of 418 horses that were submitted to gastroscopic evaluation were asked to answer a questionnaire on risk factors for ESGD and EGGD. Horses were divided into three groups based on the results of the questionnaire and their risk of developing gastric lesions. In our population the survey was not useful to detect the presence and the severity of the lesions detected during gastroscopic examination, however answers to some of the questions did correlate with the development of gastric lesions. The questionnaire could therefore be a useful tool to evaluate the risk of ESGD or EGGD. Having owners periodically complete the survey could also make them more aware of changes in the conditions of the horses that could lead to gastric lesions. This could then help them seek advice from veterinarians on how to manage this potential risk.
Publication Date: 2021-01-27 PubMed ID: 33530014DOI: 10.1016/j.prevetmed.2021.105285Google Scholar: Lookup
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  • Journal Article

Summary

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This research paper aims to validate the usefulness of a questionnaire in identifying horses at risk of developing Equine Squamous Gastric Disease (ESGD) or Equine Glandular Gastric Disease (EGGD), both forms of Equine Gastric Ulcer Syndrome (EGUS). The study evaluated the association between symptoms identified through the questionnaire and the presence of these diseases observed via gastroscopic examination.

Understanding EGUS, ESGD and EGGD

  • Equine Gastric Ulcer Syndrome (EGUS) is a common condition affecting horses worldwide. It is characterized by the presence of lesions in the horse’s stomach lining.
  • EGUS is now recognized as two separate diseases: Equine Squamous Gastric Disease (ESGD) and Equine Glandular Gastric Disease (EGGD), distinguished by where the lesions occur (squamous or glandular mucosa, respectively).
  • Because gastroscopic examinations typically used in diagnosis can be costly, many horse owners start treatment based solely on observable clinical signs.

Purpose of the Study

  • The main purpose of the study was to validate a questionnaire that could help detect the risk of a horse developing ESGD or EGGD.
  • Ideally, such a tool should help horse owners identify potential risks earlier, thereby facilitating intervention and potentially mitigating the risks of their horses developing gastric lesions.

Methodology

  • A questionnaire gathering information on risk factors for ESGD and EGGD was administered to the owners of 418 horses, all of whom were also undergoing gastroscopic evaluation.
  • The horses were divided into three groups based on the results of the questionnaire and their calculated risk of developing gastric lesions.

Findings

  • The questionnaire demonstrated limited effectiveness in detecting the presence and severity of gastric lesions as observed through gastroscopic examination.
  • Nevertheless, some correlations were found between questionnaire responses and the development of gastric lesions.
  • This suggests that, despite its limitations, the questionnaire could be a valuable tool in evaluating a horse’s risk of developing ESGD or EGGD.

Further Implications

  • Having horse owners complete the questionnaire periodically could potentially make them more cognizant of changes in their horses’ conditions that may denote an increased risk of gastric lesions.
  • Increased awareness could prompt horse owners to seek timely veterinary advice, enabling better management of the potential risk.

Cite This Article

APA
Busechian S, Sgorbini M, Orvieto S, Pisello L, Zappulla F, Briganti A, Nocera I, Conte G, Rueca F. (2021). Evaluation of a questionnaire to detect the risk of developing ESGD or EGGD in horses. Prev Vet Med, 188, 105285. https://doi.org/10.1016/j.prevetmed.2021.105285

Publication

ISSN: 1873-1716
NlmUniqueID: 8217463
Country: Netherlands
Language: English
Volume: 188
Pages: 105285

Researcher Affiliations

Busechian, Sara
  • Department of Veterinary Medicine, University of Perugia, Via San Costanzo 4, 06126, Perugia, Italy. Electronic address: sarabusechian@gmail.com.
Sgorbini, Micaela
  • Department of Veterinary Sciences, University of Pisa, Viale delle Piagge 2, 56124, Pisa, Italy.
Orvieto, Simona
  • Private Practitioner, Perugia, Italy.
Pisello, Lorenzo
  • Department of Veterinary Medicine, University of Perugia, Via San Costanzo 4, 06126, Perugia, Italy.
Zappulla, Francesco
  • Private Practitioner, Perugia, Italy.
Briganti, Angela
  • Department of Veterinary Sciences, University of Pisa, Viale delle Piagge 2, 56124, Pisa, Italy.
Nocera, Irene
  • Department of Veterinary Sciences, University of Pisa, Viale delle Piagge 2, 56124, Pisa, Italy.
Conte, Giuseppe
  • Department of Agricultural, Food and Agro-Environmental Sciences, Via del Borghetto 80, 56124, Pisa, Italy.
Rueca, Fabrizio
  • Department of Veterinary Medicine, University of Perugia, Via San Costanzo 4, 06126, Perugia, Italy.

MeSH Terms

  • Animals
  • Female
  • Horse Diseases / epidemiology
  • Horses
  • Italy / epidemiology
  • Male
  • Risk Factors
  • Stomach Ulcer / epidemiology
  • Stomach Ulcer / veterinary
  • Surveys and Questionnaires

Citations

This article has been cited 13 times.
  1. Busechian S, Di Salvo A, Orvieto S, Rueca F, Villella C, Sollevanti G, Pieramati C, Nisi I, Della Rocca G. Changes in Fitness Parameters in Ridden Trained Showjumping Horses After Healing of Gastric Ulcers: Preliminary Results. Vet Sci 2025 Dec 21;13(1).
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  2. 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.
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  4. 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).
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  5. Busechian S, Bindi F, Pieramati C, Orvieto S, Pisello L, Cozzi S, Ortolani F, Rueca F. Is There a Difference in the Prevalence of Gastric Ulcers between Stallions Used for Breeding and Those Not Used for Breeding?. Animals (Basel) 2024 May 22;14(11).
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  9. Busechian S, Turini L, Sgorbini M, Pieramati C, Pisello L, Orvieto S, Rueca F. Are Horse Owners Able to Estimate Their Animals' Body Condition Score and Cresty Neck Score?. Vet Sci 2022 Oct 3;9(10).
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  10. Busechian S, Turini L, Sgorbini M, Bonelli F, Pisello L, Pieramati C, Orvieto S, Rueca F. Body Condition Score Is Not Correlated to Gastric Ulcers in Non-Athlete Horses. Animals (Basel) 2022 Sep 30;12(19).
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  12. Contreras-Aguilar MD, Rubio CP, González-Arostegui LG, Martín-Cuervo M, Cerón JJ, Ayala I, Henriksen IH, Jacobsen S, Hansen S. Changes in Oxidative Status Biomarkers in Saliva and Serum in the Equine Gastric Ulcer Syndrome and Colic of Intestinal Aetiology: A Pilot Study. Animals (Basel) 2022 Mar 7;12(5).
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