EGUS – Equine Gastric Ulceration Syndrome can cause different symptoms, from losing weight to poor performance. We can perform gastroscopy at your yard using a 3.5m video gastroscope.
Equine gastric ulcers are not all the same. When we do gastroscopy we commonly find in affected horses both squamous and glandular ulcers. We now know that these are very different and they should be treated differently as well.
Let’s do a gastroscopy! Click on the dots to find out more.
Equine Squamous Gastric Disease (ESGD)
Equine Glandular Gastric Disease (EGGD)
Following gastroscopy, we would discuss with you the best treatment options. The treatment goal is to achieve acid suppression (omeprazole or misoprostol) and encourage mucosal healing (sucralfate). There are also additional management recommendations that we are likely to advise. We would also advise you on the best prevention practices.
What drugs do we use to treat equine gastric disease?
Omeprazole is the most commonly used medication for squamous and glandular however it is not so effective in the latter (9-32%). Omeprazole presentations can vary from buffer solutions/buffer paste to granules or injectables. Esomeprazole is an alternative to Omeprazole when this is not so effective.
Misoprostol is a more recent drug and is proven to be superior to the combination of Omeprazole and Sucralfate (72% vs 20%). There are some risks using this drug as it is abortogenic.
Sucralfate enhances healing of ulcerated tissue. There are complementary drugs that also can be used but this should be discussed with the veterinary surgeon depending on each case.
- Minimising changes to routine and avoiding potential stressors
- Implement rest days during the week
- Supplementing with oil
- There may be some dietary supplements that may be of benefit.