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Menzies-Gow NJ, Shurlock T. The effect of feeding a commercial feedstuff on gastric squamous gastric disease (ESGD) healing and prevention of recurrence. J Equine Vet Sci 2024; 133:105015. [PMID: 38281606 DOI: 10.1016/j.jevs.2024.105015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Revised: 01/23/2024] [Accepted: 01/26/2024] [Indexed: 01/30/2024]
Abstract
Feedstuffs are often recommended to mitigate potential damage from acid associated with equine squamous gastric disease (ESGD). In acidic conditions, pectin alters its structure to one like mucus and binds the stomach mucosa, whilst alfalfa has a strong intrinsic acid buffering capacity. The study aimed to determine whether feeding a commercial beet pulp/alfalfa/oat fibre mix aids ESGD healing and/or prevention of recurrence. Ten adult horses with naturally occurring ESGD were included. All animals were treated with omeprazole as per the attending veterinarian's recommendation and randomly allocated to also be fed a commercial beet pulp/alfalfa/oat fibre mix (1Kg/horse divided into 2 meals/day; n=5) or no additional feed (n=5) for one month. Gastroscopy was then repeated to assess response to therapy. If the ESGD had healed, omeprazole therapy was discontinued, and the commercial feed given to all horses for a further month. Gastroscopy was repeated to determine ESGD recurrence. The mean (±SD) age of the horses was 11.6 (±3.8) years; 4 mares and 6 geldings; various breeds were represented; and the median (range) initial ESGD grade was 2 (2-4). ESGD had healed (grade 0/4) in all animals after one month. After a further month, ESGD had recurred in significantly (p=0.04) more animals that did not receive the commercial feed initially (3/5; 60%; mean [range] ESGD grade 3 [0,4]) compared to those that did (0/5; 0%; mean [range] ESGD grade 0 [0,0]). Thus, the commercial beet pulp/alfalfa/oat fibre mix aided prevention of ESGD recurrence when fed during the healing and prevention phases.
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Affiliation(s)
- N J Menzies-Gow
- Department of Clinical Sciences and Services, Royal Veterinary College, Hawkshead Lane, North Mymms, Herts. AL9 7TA. United Kingdom.
| | - T Shurlock
- West Lane House, Bishopdale, Leyburn, North Yorkshire. DL8 3TG. United Kingdom
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Lo Feudo CM, Stucchi L, Conturba B, Alberti E, Zucca E, Ferrucci F. Effects of a nutraceutical supplement in the management of mild equine squamous gastric disease in endurance horses. Vet Rec 2021; 189:e942. [PMID: 34562281 DOI: 10.1002/vetr.942] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 08/02/2021] [Accepted: 08/28/2021] [Indexed: 12/21/2022]
Abstract
INTRODUCTION Equine squamous gastric disease (ESGD) may require prolonged treatments with acid suppressants; therefore, interest in nutraceutical supplements with anti-ulcerogenic properties has increased. This study aims to investigate the efficacy of Trophogast pellet for the treatment of ESGD in endurance horses. MATERIAL AND METHODS Fifteen endurance horses were included based on their gastroscopic examination and randomly assigned to a treatment group, receiving Trophogast pellet for 30 days together with management changes, or to a control group, only subjected to management modifications. At the end of treatment, gastroscopy was repeated. Scores were assigned according to the Equine Gastric Ulcer Council scoring system. All horses were weighed at the beginning and at the end of the study. ESGD grades and weight before and after treatment were compared. RESULTS At enrolment, median ESGD score in the treatment group was 2, while in the control group it was 1. After the treatment period, a significant decrease in ESGD grade was observed in the treatment group (median 1, p = 0.0078), while there was no change in the control group (median 2). No significant weight change was observed in either group. CONCLUSION Trophogast pellet was effective at promoting healing of mild ESGD in endurance horses.
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Affiliation(s)
- Chiara Maria Lo Feudo
- Department of Veterinary Medicine, Equine Sports Medicine Laboratory "Franco Tradati", Università degli Studi di Milano, Lodi, Italy
| | - Luca Stucchi
- Veterinary Teaching Hospital, Università degli Studi di Milano, Lodi, Italy
| | - Bianca Conturba
- Veterinary Teaching Hospital, Università degli Studi di Milano, Lodi, Italy
| | - Elena Alberti
- Department of Veterinary Medicine, Equine Sports Medicine Laboratory "Franco Tradati", Università degli Studi di Milano, Lodi, Italy
| | - Enrica Zucca
- Department of Veterinary Medicine, Equine Sports Medicine Laboratory "Franco Tradati", Università degli Studi di Milano, Lodi, Italy
| | - Francesco Ferrucci
- Department of Veterinary Medicine, Equine Sports Medicine Laboratory "Franco Tradati", Università degli Studi di Milano, Lodi, Italy
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Vervuert I, Stratton-Phelps M. The Safety and Efficacy in Horses of Certain Nutraceuticals that Claim to Have Health Benefits. Vet Clin North Am Equine Pract 2021; 37:207-222. [PMID: 33618951 DOI: 10.1016/j.cveq.2020.11.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Equine nutraceuticals are promoted as useful therapies to help optimize health and athletic performance, often without the benefit of independent research to support product efficacy and safety. This review focuses on 4 main categories of equine supplements that are frequently used as nutraceuticals: (i) supplements to support metabolic health, (ii) gastric support products, (iii) common ingredients that are included in supplements designed to support hoof health, and (iv) supplements to support joint health.
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Affiliation(s)
- Ingrid Vervuert
- Institute of Animal Nutrition, Nutrition Diseases and Dietetics, Faculty of Veterinary Medicine, Leipzig University, An den Tierkliniken 9, Leipzig 04103, Germany.
| | - Meri Stratton-Phelps
- All Creatures Veterinary Nutrition Consulting, 3407 Millbrook Court, Fairfield, CA 94534, USA
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Raidal S, Hughes K. Effect of a novel fermented soy product on gastric ulcer scores in horses. JOURNAL OF APPLIED ANIMAL NUTRITION 2020. [DOI: 10.3920/jaan2020.0011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Non-pharmaceutical methods are desirable to treat or prevent gastric ulceration in horses. This two-period, randomised, double-blinded placebo-controlled study was designed to evaluate the efficacy of dietary supplementation (25 g once daily in feed for 30 days) with Fermaid®Ease 187 (FE, Lallemand Australia Pty Ltd, Maroochydore, Australia) on gastric squamous and glandular mucosal ulcer scores in horses. Gastroscopy of 120 horses presented to the Veterinary Clinical Centre at Charles Sturt University (CSU; Bathurst, Australia) or at local training establishments identified 60 horses with spontaneous gastric ulcer disease (50%). Of horses eligible for inclusion, 29 horses were recruited and randomised to receive either the FE or placebo for 30 days. Effects were assessed by repeat gastroscopy (Day 31), at which time horses started the reciprocal treatment. Eleven horses successfully completed both treatment periods. Treatment with FE showed a significant decrease in squamous ulcer scores in period 1 (P=0.008), with a similar effect observed in period 2. No change was observed in squamous ulcer scores for horses receiving placebo treatment in period 1, but increased squamous scores were observed in horses receiving placebo treatment in period 2 (P=0.062). Squamous ulcer scores on Day 31 were significantly lower (P=0.005) following FE treatment than for horses receiving the placebo treatment. No effects were observed on glandular ulcer scores. This study supported the use of FE in horses predisposed to ulceration of the squamous gastric mucosa.
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Affiliation(s)
- S.L. Raidal
- Charles Sturt University, School of Animal and Veterinary Sciences, Boorooma St, Wagga Wagga, NSW 2650, Australia
| | - K.J. Hughes
- Charles Sturt University, School of Animal and Veterinary Sciences, Boorooma St, Wagga Wagga, NSW 2650, Australia
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Varley G, Bowen IM, Habershon‐Butcher JL, Nicholls V, Hallowell GD. Misoprostol is superior to combined omeprazole‐sucralfate for the treatment of equine gastric glandular disease. Equine Vet J 2019; 51:575-580. [DOI: 10.1111/evj.13087] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2018] [Accepted: 02/23/2019] [Indexed: 12/20/2022]
Affiliation(s)
| | - I. M. Bowen
- School of Veterinary Medicine and Science University of Nottingham Loughborough UK
| | | | - V. Nicholls
- School of Veterinary Science University of Liverpool Leahurst UK
| | - G. D. Hallowell
- School of Veterinary Medicine and Science University of Nottingham Loughborough UK
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Rendle D, Bowen M, Brazil T, Conwell R, Hallowell G, Hepburn R, Hewetson M, Sykes B. Recommendations for the management of equine glandular gastric disease. ACTA ACUST UNITED AC 2018. [DOI: 10.12968/ukve.2018.2.s1.3] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Bonelli F, Busechian S, Meucci V, Caporrino G, Briganti A, Rueca F, Zappulla F, Ferini E, Ghiandai L, Sgorbini M. pHyloGASTRO in the Treatment of Equine Gastric Ulcer Lesions. J Equine Vet Sci 2016. [DOI: 10.1016/j.jevs.2016.06.069] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Affiliation(s)
- F. M. Andrews
- Equine Health Studies Program; Department of Veterinary Clinical Sciences; School of Veterinary Medicine; Louisiana State University; Baton Rouge USA
| | - C. Larson
- Zinpro Corporation; Eden Prairie Minnesota USA
| | - P. Harris
- WALTHAM Centre for Pet Nutrition; Waltham-on-the-Wolds; Leicestershire UK
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Affiliation(s)
- David Sutton
- Weipers Centre Equine Hospital, School of Veterinary Medicine, University of Glasgow, Bearsden Road, Glasgow, UK
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Andrews FM, Camacho-Luna P, Loftin PG, Gaymon G, Garza F, Keowen ML, Kearney MT. Effect of a pelleted supplement fed during and after omeprazole treatment on nonglandular gastric ulcer scores and gastric juice pH in horses. EQUINE VET EDUC 2015. [DOI: 10.1111/eve.12384] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- F. M. Andrews
- Department of Veterinary Clinical Sciences; School of Veterinary Medicine; Louisiana State University; Baton Rouge USA
| | - P. Camacho-Luna
- Department of Veterinary Clinical Sciences; School of Veterinary Medicine; Louisiana State University; Baton Rouge USA
| | - P. G. Loftin
- Department of Veterinary Clinical Sciences; School of Veterinary Medicine; Louisiana State University; Baton Rouge USA
| | - G. Gaymon
- Department of Veterinary Clinical Sciences; School of Veterinary Medicine; Louisiana State University; Baton Rouge USA
| | - F. Garza
- Department of Veterinary Clinical Sciences; School of Veterinary Medicine; Louisiana State University; Baton Rouge USA
| | - M. L. Keowen
- Department of Veterinary Clinical Sciences; School of Veterinary Medicine; Louisiana State University; Baton Rouge USA
| | - M. T. Kearney
- Department of Pathobiological Sciences; School of Veterinary Medicine; Louisiana State University; Baton Rouge USA
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Sanz MG, Viljoen A, Saulez MN, Olorunju S, Andrews FM. Efficacy of a pectin-lecithin complex for treatment and prevention of gastric ulcers in horses. Vet Rec 2014; 175:147. [DOI: 10.1136/vr.102359] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- M. G. Sanz
- Department of Companion Animal Clinical Studies; Faculty of Veterinary Science; University of Pretoria; Onderstepoort 0110 South Africa
- Department of Veterinary Science; Maxwell H. Gluck Equine Research Center; University of Kentucky; Lexington KY 40546 USA
| | - A. Viljoen
- Department of Companion Animal Clinical Studies; Faculty of Veterinary Science; University of Pretoria; Onderstepoort 0110 South Africa
| | - M. N. Saulez
- Department of Companion Animal Clinical Studies; Faculty of Veterinary Science; University of Pretoria; Onderstepoort 0110 South Africa
- Drakenstein Veterinary Clinic; Western Cape 7599 South Africa
| | - S. Olorunju
- The Biostatistics Unit; Medical Research Council of South Africa; Pretoria 0001 South Africa
| | - F. M. Andrews
- The Department of Veterinary Clinical Sciences; School of Veterinary Medicine; Louisiana State University; Louisiana 70803 USA
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Woodward MC, Huff NK, Garza F, Keowen ML, Kearney MT, Andrews FM. Effect of pectin, lecithin, and antacid feed supplements (Egusin®) on gastric ulcer scores, gastric fluid pH and blood gas values in horses. BMC Vet Res 2014; 10 Suppl 1:S4. [PMID: 25238454 PMCID: PMC4123152 DOI: 10.1186/1746-6148-10-s1-s4] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Background The objectives of this study were to evaluate the effects of two commercial feed supplements, Egusin 250® [E-250] and Egusin SLH® [E-SLH], on gastric ulcer scores, gastric fluid pH, and blood gas values in stall-confined horses undergoing feed-deprivation. Methods Nine Thoroughbred horses were used in a three-period crossover study. For the three treatment groups, sweet feed was mixed with E-250, E-SLH, or nothing (control group) and fed twice daily. Horses were treated for 21 days, then an additional 7 days while on an alternating feed-deprivation model to induce or worsen ulcers (period one). In periods two and three, horses (n=6) were treated for an additional 7 days after feed-deprivation. Gastroscopies were performed on day -1 (n=9), day 21 (n=9), day 28 (n=9) and day 35 (n=6). Gastric juice pH was measured and gastric ulcer scores were assigned. Venous blood gas values were also measured. Results Gastric ulcers in control horses significantly decreased after 21 days, but there was no difference in ulcer scores when compared to the Egusin® treated horses. NG gastric ulcer scores significantly increased in E-250 and control horses on day 28 compared to day 21 as a result of intermittent feed-deprivation, but no treatment effect was observed. NG ulcer scores remained high in the control group but significantly decreased in the E-SLH- and E-250-treated horses by day 35. Gastric juice pH values were low and variable and no treatment effect was observed. Mean blood pCO2 values were significantly increased two hours after feeding in treated horses compared to controls, whereas mean blood TCO2 values increased in the 24 hour sample, but did not exceed 38 mmol/l. Conclusions The feed-deprivation model increased NG gastric ulcer severity in the horses. However, by day 35, Egusin® treated horses had less severe NG gastric ulcers compared to untreated control horses. After 35 days, Egusin® products tested here ameliorate the severity of gastric ulcers in stall-confined horses after feed stress.
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Hellings IR, Larsen S. ImproWin® in the treatment of gastric ulceration of the squamous mucosa in trotting racehorses. Acta Vet Scand 2014; 56:13. [PMID: 24625291 PMCID: PMC4008370 DOI: 10.1186/1751-0147-56-13] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2013] [Accepted: 02/23/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Gastric ulceration is highly prevalent in horses, and there is a large commercial market for feed-additives and non-licenced products that claim effect for prevention and treatment of gastric ulceration. ImproWin® has been used as a feed additive in horses with anecdotal evidence that it may have some positive effects on gastric ulceration.The aim of this study was to investigate the effect of ImproWin® treatment on spontaneously occurring gastric ulcers of the squamous mucosa in Standardbred and Coldblooded trotting racehorses. The study was performed as a randomised, double-blinded, single centre study with stratified semi cross-over design with breed as stratification factors. The horses were clinically and endoscopically examined prior to start and after three weeks of treatment. The ulcerations were scored in accordance with Equine Gastric Ulcer Council (EGUC) recommendations on a 5 point scale and on a 10 cm Visual Analogue Scale (VAS). The patients were responder-classified after 3 weeks. Responders in need of ulcer treatment were randomly allocated to 2 or 4 weeks of additional treatment. Non-responders to placebo were crossed to ImproWin®. RESULTS The 5-point EGUC score and VAS recorded score was significantly reduced (P ≤ 0.01) in both groups after 3 weeks of treatment. From 3 weeks to the end of treatment the score was further significantly reduced in the ImproWin® group (P ≤ 0.05). At the end of treatment, 78% in the ImproWin® group and 54.8% in the placebo group were classified as responders. The difference was significant (P = 0.04). CONCLUSIONS ImproWin® may aid the healing process of ulcers of the gastric squamous mucosa of trotters.
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Eichenseher J. Peptic Ulcer Disease. Integr Med (Encinitas) 2012. [DOI: 10.1016/b978-1-4377-1793-8.00042-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Gutzwiller A, Czeglédi L, Stoll P, Bruckner L. Effects of Fusarium toxins on growth, humoral immune response and internal organs in weaner pigs, and the efficacy of apple pomace as an antidote. J Anim Physiol Anim Nutr (Berl) 2007; 91:432-8. [PMID: 17845251 DOI: 10.1111/j.1439-0396.2006.00672.x] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
A feeding trial using 220 weaner pigs which comprised two experimental series was conducted to investigate the effects of diets contaminated with the Fusarium toxins deoxynivalenol (DON) and zearalenone (ZON) and to test the hypothesis that apple pomace acts as an antidote to these mycotoxins. Two diets without contaminated wheat, containing either no pomace or 8% pomace, and two diets with naturally contaminated wheat (3.2 mg DON and 0.06 mg ZON, and 2.1 mg DON and 0.25 mg ZON per kg diet in series 1 and 2 respectively), containing either no pomace or 8% pomace were fed ad libitum for 5 weeks. Mycotoxin exposure lowered feed intake (p < 0.01) and growth (p = 0.05), and tended to decrease the energy conversion ratio (p = 0.06). Although the intake of apple pomace did not increase feed intake, it increased the growth rate (p = 0.04), mainly by restoring growth in the presence of mycotoxins (p = 0.08 for the interaction mycotoxin x pomace). In the first experimental series, the animals were immunized with a parvovirus vaccine. The percentage of seroconverting animals did not differ between the treatments (p = 0.56), which indicates that DON did not affect the humoral immune response. In the second experimental series, female piglets fed the contaminated diets had heavier uteri than piglets fed the uncontaminated diets (p < 0.01), regardless of pomace supplementation. The results show that pomace may alleviate the negative effect of DON on growth but does not counteract the hormonal effects of ZON.
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Affiliation(s)
- A Gutzwiller
- Swiss Federal Research Station for Animal Production and Dairy Products (ALP), Posieux, Switzerland.
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