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运输对母马胃 pH 值和胃溃疡的影响。

Effects of transportation on gastric pH and gastric ulceration in mares.

机构信息

Department of Agricultural and Food Sciences, Division of Animal Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy.

School of Animal and Veterinary Sciences, Charles Sturt University, Wagga Wagga, New South Wales, Australia.

出版信息

J Vet Intern Med. 2020 Mar;34(2):922-932. doi: 10.1111/jvim.15698. Epub 2020 Feb 3.

Abstract

BACKGROUND

Transportation has been suggested as a risk factor for gastric ulceration in horses, but limited evidence supports this assumption.

ANIMALS

Twenty-six Standardbred, Thoroughbred, and Warmblood mares from a university teaching herd.

METHODS

Twelve mares were confined for 12 hours, overnight, in reproductive stocks with indwelling nasogastric tubes (NGTs) to assess pH of gastric fluid (GF). Gastric ulceration was assessed endoscopically before and after confinement. Subsequently, 26 horses were transported for 12 hours, overnight, in 2 consignments. During transportation, GF was aspirated from indwelling NGT placed in the same 12 mares used in the confinement study, and gastric ulceration was assessed endoscopically before and after transportation in all horses.

RESULTS

The median pH of GF in confined horses was 1.70-2.49 at each sampling point, and there was no apparent effect on gastric squamous ulcer scores. The median pH of GF from the same 12 horses at corresponding sampling times during transportation was 6.82-7.22. Transportation was associated with increased gastric squamous ulcer scores, particularly in horses fasted for gastroscopy and NGT placement immediately before departure. Gastric emptying appeared delayed after transportation in horses fed before departure.

CONCLUSIONS AND CLINICAL IMPORTANCE

Transportation is associated with increased gastric squamous ulceration and with increased pH of GF. These findings may be a consequence of impaired gastric emptying and reflux of alkaline small intestinal content, with factors such as duodenal bile salts and short-chain fatty acids mediating mucosal injury.

摘要

背景

有研究表明,在马中,运输可能是胃溃疡的一个危险因素,但这一假设的证据有限。

动物

26 匹来自大学教学马群的标准马、纯血马和温血马母马。

方法

12 匹母马被限制在产仔笼中 12 小时,过夜,同时留置鼻胃管(NGT)以评估胃液体(GF)的 pH 值。在限制前后通过内窥镜检查胃溃疡。随后,26 匹马分两批运输 12 小时,过夜。在运输过程中,从留置在与限制研究中相同的 12 匹母马中的 NGT 中抽吸 GF,并在所有马中在运输前后通过内窥镜检查胃溃疡。

结果

限制期马的 GF 的 pH 值中位数为 1.70-2.49,在每个采样点均未见对胃鳞状溃疡评分有明显影响。在运输期间,同一 12 匹马在相应采样时间的 GF 的 pH 值中位数为 6.82-7.22。运输与胃鳞状溃疡评分增加有关,尤其是在出发前进行胃镜检查和 NGT 放置时禁食的马。在出发前进食的马中,运输后胃排空似乎延迟。

结论和临床意义

运输与胃鳞状溃疡增加和 GF 的 pH 值增加有关。这些发现可能是胃排空受损和碱性小肠内容物反流的结果,十二指肠胆汁盐和短链脂肪酸等因素介导了黏膜损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cba/7096603/b3d1950abfb0/JVIM-34-922-g001.jpg

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