Prevention and treatment of thrombosis, phlebitis, and laminitis in horses with gastrointestinal diseases.
Abstract: Organ thrombosis and laminitis are life-threatening complications in horses with acute gastrointestinal disease, especially those diseases that cause disruption of the protective mucosal barrier. Prevention of these complications should be a high priority when treating horses with gastrointestinal diseases because even with proper and intensive treatments, laminitis or organ thrombosis may not be curative. Preventative therapy should include expedient and appropriate treatment of the primary disease, normalization of tissue perfusion and oxygenation, and inhibition of gut-derived toxins or their systemically activated biologic products along with i.v. replacement of depleted anticoagulant proteins. Additionally, several risk factors for thrombophlebitis in horses with intestinal disease have been identified, and those risk factors should be minimized during the illness.
Publication Date: 2004-01-27 PubMed ID: 14740769DOI: 10.1016/j.cveq.2003.08.002Google Scholar: Lookup
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Summary
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The research article revolves around the prevention and treatment of thrombosis (clotting in the blood vessels), phlebitis (inflammation of veins), and laminitis (inflammation of horse’s hoof structures) in horses suffering from gastrointestinal diseases. It emphasizes that hasty and suitable treatment of the primary ailment, restoring normal tissue blood flow and oxygen levels, as well as controlling gut-derived toxins and replacing exhausted anticoagulant proteins is key to averting these severe complications.
Understanding the Complications in Horses with Gastrointestinal Disease
- Organ thrombosis (blood clots in organs) and laminitis (a painful condition affecting the hooves) are dangerous complications that can occur in horses with acute gastrointestinal illnesses, particularly those causing disruption of the protective mucosal barrier, which is a layer of cells in the gastrointestinal tract that protects the underlying tissue from bacteria, acid, and enzymes.
- Despite intensive treatments, these complications may be non-treatable and can have severe impacts on the horse’s overall health. Therefore, preventing them from occurring should be a primary aim in treating horses with such diseases.
Preventative Measures for Complications
- The primary treatment strategy should involve swift and apt therapy for the actual disease troubling the horse. This is imperative because controlling the core disease will naturally reduce the chances of these complications to occur.
- Another crucial step is the normalization of tissue perfusion, which is the passage of fluid through the circulatory or lymphatic system to an organ or a tissue. Often during gastrointestinal illness, it’s disturbed. Similarly, ensuring sufficient oxygenation in the affected horse is also crucial for health recovery.
- Inhibition of gut-derived toxins is important too. The gastrointestinal diseases usually allow toxins from the gut to become systemically activated posing danger to the horse’s health. So, along with the intravenous replacement of vital anticoagulant proteins that get depleted due to the disease, controlling these toxins is very important.
Minimizing Risk Factors for Thrombophlebitis
- The research also identifies several potential risk factors for thrombophlebitis. Thrombophlebitis refers to the inflammation of a vein, usually in the legs, in conjunction with blood clot formation.
- These identified risk factors have to be minimized during the course of the gastrointestinal disease in horses to ensure a lower risk of the horse developing thrombophlebitis.
Cite This Article
APA
Divers TJ.
(2004).
Prevention and treatment of thrombosis, phlebitis, and laminitis in horses with gastrointestinal diseases.
Vet Clin North Am Equine Pract, 19(3), 779-790.
https://doi.org/10.1016/j.cveq.2003.08.002 Publication
Researcher Affiliations
- Large Animal Medicine, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA. tjd8@cornell.edu
MeSH Terms
- Animals
- Foot Diseases / etiology
- Foot Diseases / prevention & control
- Foot Diseases / veterinary
- Gastrointestinal Diseases / complications
- Gastrointestinal Diseases / prevention & control
- Gastrointestinal Diseases / veterinary
- Hoof and Claw
- Horse Diseases / etiology
- Horse Diseases / prevention & control
- Horses
- Phlebitis / etiology
- Phlebitis / prevention & control
- Phlebitis / veterinary
- Thrombosis / etiology
- Thrombosis / prevention & control
- Thrombosis / veterinary
Citations
This article has been cited 8 times.- Hussein HA, Ibrahim A. B-mode and color Doppler ultrasonography of normal external jugular vein in donkeys (Equus asinus). BMC Vet Res 2022 Sep 14;18(1):345.
- Miranda ALS, Antunes BC, Minozzo JC, Lima SA, Botelho AFM, Campos MTG, Chávez-Olórtegui CD, Soto-Blanco B. Clinical Effects of the Immunization Protocol Using Loxosceles Venom in Naïve Horses. Toxins (Basel) 2022 May 13;14(5).
- Kopper JJ, Bolger ME, Kogan CJ, Schott HC 2nd. Outcome and complications in horses administered sterile or non-sterile fluids intravenously. J Vet Intern Med 2019 Nov;33(6):2739-2745.
- Estell KE, Young A, Kozikowski T, Swain EA, Byrne BA, Reilly CM, Kass PH, Aleman M. Pneumonia Caused by Klebsiella spp. in 46 Horses. J Vet Intern Med 2016 Jan-Feb;30(1):314-21.
- Bäumer W, Herrling GM, Feige K. Pharmacokinetics and thrombolytic effects of the recombinant tissue-type plasminogen activator in horses. BMC Vet Res 2013 Aug 9;9:158.
- Dias DP, de Lacerda Neto JC. Jugular thrombophlebitis in horses: a review of fibrinolysis, thrombus formation, and clinical management. Can Vet J 2013 Jan;54(1):65-71.
- Hardefeldt L, Thomas K, Page S, Norris J, Browning G, El Hage C, Stewart A, Gilkerson J, Muscatello G, Verwilghen D, van Galen G, Bauquier J, Cuming R, Reynolds B, Whittaker C, Wilkes E, Clulow J, Burden C, Begg L. Antimicrobial prescribing guidelines for horses in Australia. Aust Vet J 2025 Dec;103(12):781-889.
- Miranda ALS, Antunes BC, Minozzo JC, Lima SA, Botelho AFM, Campos MTG, Chávez-Olórtegui C, Soto-Blanco B. The Health Status of Horses Used for at Least Six Complete Cycles of Loxoscelic Antivenom Production. Toxins (Basel) 2023 Sep 26;15(10).
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