Department of Internal Diseases with Clinic for Horses, Dogs and Cats, The Faculty of Veterinary Medicine, Wrocław University of Environmental and Life Sciences, pl. Grunwaldzki 47, Wrocław 50-366, Poland.
Acta Vet Scand. 2013 Jun 7;55(1):45. doi: 10.1186/1751-0147-55-45.
This study was performed to determine the prevalence of ulcers in the gastric squamous and glandular mucosa in Polish pleasure horses.
Medical records from gastroscopic examinations of 108 pleasure horses of different breeds were reviewed. The study population consisted of two groups; group I (n = 48) with horses that expressed mild clinical signs of gastric ulcer syndrome (EGUS) including poor appetite, slight weight loss or poor body condition, and group II (n = 60) with horses that had no signs of gastrointestinal problems. The age range was 4-10 years, including 5 males, 34 castrated males (geldings) and 69 mares. The prevalence, distribution and severity of gastric ulcers were recorded. Lesions involving the squamous mucosa and the glandular mucosa of the antrum and pylorus were graded and compared between groups.
Significant difference was found in the presence and severity of gastric ulcers between the two groups of horses. The overall prevalence of gastric ulcers in the first group of horses (n = 48) was 59% while in the group of clinically healthy horses (n = 60) the prevalence of gastric lesion was 40% (P = 0.004). Almost 19% of horses from group I had between 6-10 lesions (EGUS score III) and nearly 19% had either >10 localized lesions or very large diffuse lesions (EGUS number score IV). The number of ulcerations in affected horses were significantly lower in group II compared to group I (P = 0.016) as 10% of horses had 6-10 lesions (EGUS number score III) and nearly 14% had either >10 localized lesions or very large diffuse lesions (EGUS number score IV). Gastroscopy revealed that nearly 32% of horses from the second group had an ulceration EGUS score ≥ II.
This study confirms that gastric ulcerations can be prevalent in apparently clinically normal pleasure horses and a complete gastroscopic examination including the examination of the pylorus is advisable to evaluate this syndrome.
本研究旨在确定波兰盛装舞步马胃的鳞状和腺黏膜溃疡的患病率。
回顾了 108 匹不同品种盛装舞步马的胃镜检查病历。研究人群分为两组；I 组（n=48）有马表现出轻微的胃溃疡综合征（EGUS）临床症状，包括食欲不振、轻微体重减轻或身体状况不佳，和 II 组（n=60）无胃肠道问题的马。年龄范围为 4-10 岁，包括 5 匹公马、34 匹去势公马（骟马）和 69 匹母马。记录了胃溃疡的患病率、分布和严重程度。对两组马的胃黏膜鳞状和胃窦、幽门腺黏膜病变进行分级并比较。
两组马的胃溃疡存在和严重程度存在显著差异。第一组马（n=48）胃溃疡总患病率为 59%，而临床健康马组（n=60）胃病变患病率为 40%（P=0.004）。I 组近 19%的马有 6-10 个病变（EGUS 评分 III），近 19%的马有>10 个局限性病变或非常大的弥漫性病变（EGUS 数量评分 IV）。与 I 组相比，II 组受影响马的溃疡数明显较少（P=0.016），10%的马有 6-10 个病变（EGUS 数量评分 III），近 14%的马有>10 个局限性病变或非常大的弥漫性病变（EGUS 数量评分 IV）。胃镜检查显示，第二组近 32%的马有溃疡 EGUS 评分≥II。
本研究证实，胃溃疡在外观上正常的盛装舞步马中可能普遍存在，建议进行全面的胃镜检查，包括检查幽门，以评估该综合征。
