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Journal of veterinary internal medicine2006; 20(2); 388-394; doi: 10.1892/0891-6640(2006)20[388:sciban]2.0.co;2

Sucrose concentration in blood: a new method for assessment of gastric permeability in horses with gastric ulceration.

Abstract: A urine sucrose test has recently been reported to be a reliable method of detecting gastric ulcers in horses; however, technical difficulties associated with urine collection have limited the practical value of the test. The objective of this pilot study was to determine whether gastric sucrose permeability, as evaluated by serum sucrose concentration, could be used to detect gastric mucosal injury in horses. Twelve adult horses with naturally acquired gastric ulceration were studied. After a 20-hour nonfeeding period, each horse was dosed with 250 g of sucrose via nasogastric intubation. Blood samples were collected at 0, 15, 30, 45, 60, and 90 minutes, and horses underwent gastroscopy 4 hours later. The severity of gastric ulceration in each horse was defined by means of a 4-point ulcer-scoring system, and the relationship with serum sucrose concentration was analyzed by means of a linear mixed-effects model. Serum sucrose concentration was measured by liquid chromatography operating in tandem with electrospray mass spectrometry. After nasogastric administration of table sugar, horses with moderate to severe gastric ulceration had significant increase in serum sucrose concentration at 30, 45, 60, and 90 minutes, relative to earlier times (P < .05). Peak sucrose concentration was observed at 45 minutes, and was correlated with ulcer severity (Spearman's rank correlation coefficient = 0.898, P < .05). These data indicate that determination of sucrose concentration in equine serum may be a useful test for identifying horses with endoscopically visible gastric ulceration and has potential use as a noninvasive method for screening and monitoring horses engaged in racing training and other performance-related disciplines.
Publication Date: 2006-04-06 PubMed ID: 16594599DOI: 10.1892/0891-6640(2006)20[388:sciban]2.0.co;2Google Scholar: Lookup
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  • Clinical Trial
  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research focuses on a new method to assess gastric permeability in horses suffering from gastric ulcers by evaluating serum sucrose concentration. It suggests that this method could be a non-invasive way to identify and monitor horses with visible gastric ulcers especially in those involved in high-performance activities like racing.

Overview of the Study

  • The research study is conducted on 12 adult horses with naturally occurring gastric ulcers.
  • After an enforced period of not eating for 20 hours, each horse is given 250 grams of sucrose (table sugar) through a nasogastric tube.
  • Blood samples are taken at regular intervals – starting from the time of administering sucrose up until 90 minutes after.
  • Finally, the horses undergo gastroscopy 4 hours post sucrose administration.

Scoring and Analysis Method

  • The severity of gastric ulceration in the horses is determined using a 4-point ulcer scoring system.
  • This scoring evaluation is then compared with the serum sucrose concentration of each horse, drawn from their blood samples.
  • For this, a linear mixed-effects model analysis is utilized.
  • Moreover, the serum sucrose concentration is measured by liquid chromatography operating in conjunction with electrospray mass spectrometry.

Findings of the Study

  • The findings reveal that at 30, 45, 60, and 90 minutes after the intake of sucrose, the horses suffering from moderate to severe gastric ulceration have a significant spike in serum sucrose concentration compared to the earlier times.
  • The peak sucrose concentration is observed at 45 minutes and is found to be directly influenced by the severity of the ulceration, as measured by Spearman’s rank correlation co-efficient.
  • The correlation between ulcer severity and serum sucrose concentration was significant (Spearman’s rank correlation coefficient = 0.898, P < .05).
  • Overall, the results suggest that the measurement of sucrose concentration in horse serum can be a useful tool to identify and monitor horses with visible gastric ulceration. This method can potentially be used as a noninvasive test for screening and monitoring horses, particularly those in high-stress activities like racing.

Cite This Article

APA
Hewetson M, Cohen ND, Love S, Buddington RK, Holmes W, Innocent GT, Roussel AJ. (2006). Sucrose concentration in blood: a new method for assessment of gastric permeability in horses with gastric ulceration. J Vet Intern Med, 20(2), 388-394. https://doi.org/10.1892/0891-6640(2006)20[388:sciban]2.0.co;2

Publication

ISSN: 0891-6640
NlmUniqueID: 8708660
Country: United States
Language: English
Volume: 20
Issue: 2
Pages: 388-394

Researcher Affiliations

Hewetson, M
  • Institute of Comparative Medicine, Department, University of Glasgow Veterinary School.
Cohen, N D
    Love, S
      Buddington, R K
        Holmes, W
          Innocent, G T
            Roussel, A J

              MeSH Terms

              • Animals
              • Female
              • Gastric Mucosa / physiopathology
              • Horse Diseases / blood
              • Horse Diseases / diagnosis
              • Horse Diseases / physiopathology
              • Horses / blood
              • Male
              • Permeability
              • Stomach Ulcer / diagnosis
              • Stomach Ulcer / physiopathology
              • Stomach Ulcer / veterinary
              • Sucrose / administration & dosage
              • Sucrose / blood