Analyze Diet
Equine veterinary journal2009; 41(7); 619-624; doi: 10.2746/042516409x441910

The prevalence and anatomical distribution of equine gastric ulceration syndrome (EGUS) in 201 horses in Denmark.

Abstract: The prevalence (up to 93% in Thoroughbred racehorses) and severity of equine gastric ulceration syndrome (EGUS) have been correlated with the type of training and associated management practices. However, there have been few reports to confirm these findings in nonracehorses in Europe. Objective: To describe the prevalence, anatomical distribution, severity and number of gastric ulceration lesions in a population of Danish pleasure horses; and to investigate differences for groups based on age, breed type and workload. Methods: A total of 201 horses not in active race-training, age 7 months-27 years, were evaluated, representing 23 different stables from all 5 regions of Denmark. These horses were considered to be healthy by the owner and not on veterinary treatment for EGUS. Endoscopically observed ulcer lesion scores were based on the number present (0-4) and severity (0-5). The presence or absence of ulcers in the glandular and/or nonglandular regions of the stomach was recorded and which site the most severe ulcers were found. Results: The prevalence of EGUS severity score > or = 2 was 53%. The most severe lesions were commonly observed at the margo plicatus. Although older horses were not more likely to be affected by clinically significant EGUS they were more likely to have lesions in both the glandular and nonglandular regions. Differences in location of EGUS lesions were identified in different age groups, breed types and in horses exposed to different levels of work. Conclusions: This study confirms that gastric ulceration can be prevalent in a group of apparently clinically normal horses, not in intensive work. Further investigation of reasons for differences in EGUS location between different populations may aid toward the development of novel preventive measures.
Publication Date: 2009-11-26 PubMed ID: 19927578DOI: 10.2746/042516409x441910Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research article investigates the occurrence and anatomical distribution of equine gastric ulceration syndrome (EGUS) in horses in Denmark that are not racehorses. The study concludes that gastric ulceration can be prevalent even in apparently healthy horses not doing intensive work, and that ulcer location varies based on factors like age, breed, and workload.

Research Objective

  • The aim of this research was to investigate the occurrence (prevalence), anatomical distribution, severity and number of gastric ulcers in non-racehorses in Denmark. In particular, the study sought to compare these aspects among groups of horses distinguished by factors like age, breed, and amount of work they are subjected to.

Methodology

  • The study was conducted on 201 horses, owned by 23 different stables throughout Denmark’s five regions, which were not in active race-training. The ages of these horses ranged between seven months and 27 years and they were considered healthy by their owners, and not undergoing treatment for EGUS.
  • The study employed endoscopic observation methods to measure ulcer severity based on a scale of 0-5 and the number of ulcers using a 0-4 scale. This allowed researchers to record the presence or absence of ulcers in different regions of the horses’ stomachs and identify the most severe ulcers’ location.

Results

  • The results revealed a prevalence of EGUS with a severity score of 2 or higher in 53% of the horses. The most severe lesions were often located at the margo plicatus.
  • Even though older horses were more likely to have ulcers in both the glandular and nonglandular regions of the stomach, they didn’t necessarily suffer more from clinically significant EGUS. There were also variations in the locations of EGUS lesions among different age groups, breed types, and workload levels.

Conclusions

  • The study confirms that gastric ulcers can be commonly found even in horses that are not in highly intensive work and are otherwise considered healthy. The variations in ulcer location among different groups of horses may prompt further exploration to identify causes and develop preventive measures.

Cite This Article

APA
Luthersson N, Nielsen KH, Harris P, Parkin TD. (2009). The prevalence and anatomical distribution of equine gastric ulceration syndrome (EGUS) in 201 horses in Denmark. Equine Vet J, 41(7), 619-624. https://doi.org/10.2746/042516409x441910

Publication

ISSN: 0425-1644
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 41
Issue: 7
Pages: 619-624

Researcher Affiliations

Luthersson, N
  • Hestedoktoren I/S, 4360 Kr. Eskilstrup, Denmark.
Nielsen, K Hou
    Harris, P
      Parkin, T D H

        MeSH Terms

        • Age Distribution
        • Animals
        • Denmark / epidemiology
        • Horse Diseases / epidemiology
        • Horse Diseases / pathology
        • Horses
        • Physical Conditioning, Animal
        • Prevalence
        • Stomach / pathology
        • Stomach Ulcer / epidemiology
        • Stomach Ulcer / pathology
        • Stomach Ulcer / veterinary

        Citations

        This article has been cited 26 times.
        1. 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.
          doi: 10.1111/jvim.70248pubmed: 41055229google scholar: lookup
        2. Zhou K, Dong Z, Zhou X, Zhai B, Li B, Zhang J, Cheng F. The Prevalence of Gastric Ulcer Syndrome in 395 Horses in Jiangyin City, China, Jiangsu Province. Animals (Basel) 2024 Dec 17;14(24).
          doi: 10.3390/ani14243636pubmed: 39765539google scholar: lookup
        3. Tranquille CA, Chojnacka K, Murray RC. Musculoskeletal Injury and Illness Patterns in British Eventing Horses: A Descriptive Study. Animals (Basel) 2024 Sep 13;14(18).
          doi: 10.3390/ani14182667pubmed: 39335262google scholar: lookup
        4. Luthersson N, Þorgrímsdóttir ÚÝ, Harris PA, Parkin T, Hopster-Iversen C, Bennet ED. Risk Factors for Equine Gastric Ulcer Syndrome Incidence in Adult Icelandic Riding Horses. Animals (Basel) 2023 Nov 14;13(22).
          doi: 10.3390/ani13223512pubmed: 38003130google scholar: lookup
        5. Alshut F, Venner M, Martinsson G, Vervuert I. The effects of feeding sodium chloride pellets on the gastric mucosa, acid-base, and mineral status in exercising horses. J Vet Intern Med 2023 Nov-Dec;37(6):2552-2561.
          doi: 10.1111/jvim.16851pubmed: 37776109google scholar: lookup
        6. Mercer MA, Davis JL, McKenzie HC. The Clinical Pharmacology and Therapeutic Evaluation of Non-Steroidal Anti-Inflammatory Drugs in Adult Horses. Animals (Basel) 2023 May 10;13(10).
          doi: 10.3390/ani13101597pubmed: 37238029google scholar: lookup
        7. Kranenburg LC, van der Poel SH, Warmelink TS, van Doorn DA, van den Boom R. Changes in Management Lead to Improvement and Healing of Equine Squamous Gastric Disease. Animals (Basel) 2023 Apr 28;13(9).
          doi: 10.3390/ani13091498pubmed: 37174535google scholar: lookup
        8. Vokes J, Lovett A, Sykes B. Equine Gastric Ulcer Syndrome: An Update on Current Knowledge. Animals (Basel) 2023 Apr 5;13(7).
          doi: 10.3390/ani13071261pubmed: 37048517google scholar: lookup
        9. 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).
          doi: 10.3390/ani12192637pubmed: 36230378google scholar: lookup
        10. Pratt S, Bowen I, Hallowell G, Shipman E, Redpath A. Assessment of agreement using the equine glandular gastric disease grading system in 84 cases. Vet Med Sci 2022 Jul;8(4):1472-1477.
          doi: 10.1002/vms3.807pubmed: 35412651google scholar: lookup
        11. Hwang H, Dong HJ, Han J, Cho S, Kim Y, Lee I. Prevalence and treatment of gastric ulcers in Thoroughbred racehorses of Korea. J Vet Sci 2022 Mar;23(2):e19.
          doi: 10.4142/jvs.21247pubmed: 35187877google scholar: lookup
        12. Hewetson M, Tallon R. Equine Squamous Gastric Disease: Prevalence, Impact and Management. Vet Med (Auckl) 2021;12:381-399.
          doi: 10.2147/VMRR.S235258pubmed: 35004264google scholar: lookup
        13. Paul LJ, Ericsson AC, Andrews FM, Keowen ML, Morales Yniguez F, Garza F Jr, Banse HE. Gastric microbiome in horses with and without equine glandular gastric disease. J Vet Intern Med 2021 Sep;35(5):2458-2464.
          doi: 10.1111/jvim.16241pubmed: 34351018google scholar: lookup
        14. Baumgartner M, Boisson T, Erhard MH, Zeitler-Feicht MH. Common Feeding Practices Pose A Risk to the Welfare of Horses When Kept on Non-Edible Bedding. Animals (Basel) 2020 Mar 2;10(3).
          doi: 10.3390/ani10030411pubmed: 32131415google scholar: lookup
        15. Lindroth KM, Johansen A, Båverud V, Dicksved J, Lindberg JE, Müller CE. Differential Defecation of Solid and Liquid Phases in Horses-A Descriptive Survey. Animals (Basel) 2020 Jan 1;10(1).
          doi: 10.3390/ani10010076pubmed: 31906279google scholar: lookup
        16. Banse HE, Andrews FM. Equine glandular gastric disease: prevalence, impact and management strategies. Vet Med (Auckl) 2019;10:69-76.
          doi: 10.2147/VMRR.S174427pubmed: 31406687google scholar: lookup
        17. Sykes BW, Bowen M, Habershon-Butcher JL, Green M, Hallowell GD. Management factors and clinical implications of glandular and squamous gastric disease in horses. J Vet Intern Med 2019 Jan;33(1):233-240.
          doi: 10.1111/jvim.15350pubmed: 30499188google scholar: lookup
        18. Poltep K, Tesena P, Yingchutrakul Y, Taylor J, Wongtawan T. Optimisation of a serum albumin removal protocol for use in a proteomic study to identify the protein biomarkers for silent gastric ulceration in horses. J Equine Sci 2018 Sep;29(3):53-60.
          doi: 10.1294/jes.29.53pubmed: 30250392google scholar: lookup
        19. Banse HE, MacLeod H, Crosby C, Windeyer MC. Prevalence of and risk factors for equine glandular and squamous gastric disease in polo horses. Can Vet J 2018 Aug;59(8):880-884.
          pubmed: 30104780
        20. Hewetson M, Sykes BW, Hallowell GD, Tulamo RM. Diagnostic accuracy of blood sucrose as a screening test for equine gastric ulcer syndrome (EGUS) in adult horses. Acta Vet Scand 2017 Mar 11;59(1):15.
          doi: 10.1186/s13028-017-0284-1pubmed: 28284214google scholar: lookup
        21. Mönki J, Hewetson M, Virtala AM. Risk Factors for Equine Gastric Glandular Disease: A Case-Control Study in a Finnish Referral Hospital Population. J Vet Intern Med 2016 Jul;30(4):1270-5.
          doi: 10.1111/jvim.14370pubmed: 27461724google scholar: lookup
        22. Shephard RJ. Peptic Ulcer and Exercise. Sports Med 2017 Jan;47(1):33-40.
          doi: 10.1007/s40279-016-0563-4pubmed: 27282926google scholar: lookup
        23. Sykes BW, Hewetson M, Hepburn RJ, Luthersson N, Tamzali Y. European College of Equine Internal Medicine Consensus Statement--Equine Gastric Ulcer Syndrome in Adult Horses. J Vet Intern Med 2015 Sep-Oct;29(5):1288-99.
          doi: 10.1111/jvim.13578pubmed: 26340142google scholar: lookup
        24. Sykes BW, Sykes KM, Hallowell GD. Administration of trimethoprim-sulphadimidine does not improve healing of glandular gastric ulceration in horses receiving omeprazole: a randomised, blinded, clinical study. BMC Vet Res 2014 Aug 23;10:180.
          doi: 10.1186/s12917-014-0180-0pubmed: 25927827google scholar: lookup
        25. Birkmann K, Junge HK, Maischberger E, Wehrli Eser M, Schwarzwald CC. Efficacy of omeprazole powder paste or enteric-coated formulation in healing of gastric ulcers in horses. J Vet Intern Med 2014 May-Jun;28(3):925-33.
          doi: 10.1111/jvim.12341pubmed: 24628650google scholar: lookup
        26. Niedźwiedź A, Kubiak K, Nicpoń J. Endoscopic findings of the stomach in pleasure horses in Poland. Acta Vet Scand 2013 Jun 7;55(1):45.
          doi: 10.1186/1751-0147-55-45pubmed: 24044656google scholar: lookup