Chronische Magendilatation beim Pferd – Diagnostik und kombinierter Behandlungsansatz

Die chronische Magendilatation ist häufig eine Herausforderung für den behandelnden Tierarzt. Dabei ermöglichen ein angepasstes Fütterungsregime und eine Dauermedikation vielen Patienten eine gute Lebensqualität.

Publication History

Article published online:
31 March 2023

• Literatur

• 1 Hutyra F, Marek F, Manninger R. Chronische Magenerweiterung. In: Spezielle Pathologie und Therapie der Haustiere, Bd. 2 Jena: Gustav Fischer Verlag, Jena; 1945: 95-96
• 2 Klier J, Blutke A, Emrich D, Beckmann J, Wittschorek J, Medina-Torres CE. Chronic gastric importation and dilatation in horses: clinical, diagnosis, treatment options and pathologic findings – A case series. Pferdeheilkunde 2017; 33: 438-446
• 3 Müller E, Donandt D, Pingen C, Zeitelhack M. Beitrag zur chronischen primären Magendilatation beim Pferd – Ein Fallbericht. Pferdeheilkunde 1995; 11: 101-104
• 4 Sutton D. Disorders of the equine stomach: what do we know and what do we still need to learn? European Veterinary Conference Voordjaarsdagen 2014.
• 5 Witt P, Hagedoorn S, Kranenburg LC, van den Boom R. The use of cola for the treatment of gastric impactions in equids. Pferdeheilkunde 2021; 37: 588-596
• 6 Stroth C, Belz JP. Diagnostik der chronischen Magendilatation des Pferdes mittels transkutaner Abdominalsonographie und Gastroskopie. Prakt Tierarzt 2014; 95: 2-4
• 7 Winfield LS, Dechant JE. Primary gastric rupture in 47 horses (1995–2011). Can Vet J 2015; 56: 953-958
• 8 Bezdekova B, Hanak J. Pyloric stenoses in horses: a seven cases reports. Vet Medicina 2009; 54: 244-248
• 9 Church S, Baker JR. Gastric retention associated with acquired pyloric stenosis in a gelding. Equine Vet J 1986; 18: 332-334
• 10 Furness MC, Snyman HN, Abrahams M, Moore A, Vince A, Anderson ME. Severe gastric impaction secondary to a gastric polyp in a horse. Can Vet J 2013; 54: 979-982
• 11 McGill CA, Bolton JR. Gastric retention associated with a pyloric mass in two horses. Aust Vet J 1984; 61: 190-191
• 12 Venner M. Pyloric stenosis: a rare disease with a typical anamnesis. Equine Vet Educ 2004; 16: 176-177
• 13 Milne EM, Pogson DM, Doxey DL. Secondary gastric impaction associated with ragwort poisoning in three ponies. Vet Rec 1990; 126: 502-504
• 14 Hurtado IR, Stewart A, Pellegrini-Masini A. Successful treatment for a gastric persimmon bezoar in a pony using nasogastric lavage with a carbonated cola soft drink. Equine Vet Educ 2007; 19: 571-574
• 15 Scheidemann W, Huthmann S. A contribution to disease of the equine stomach: chronic gastric impaction and dilatation. In: Proceedings, 4th European College of Equine Internal Medicine Congress Hannover 2011: 45-46
• 16 May A, Venner M, Cavicchioli E, Gehlen H. Magenerkrankungen des Pferdes – Diagnostik und Therapie. Pferdeheilkunde 2012; 28: 388-405
• 17 Huskamp B, Scheidemann W, Schusser GF. Einige seltene Magen- und Duodenumerkrankungen beim erwachsenen Pferd: Zweiphasige Magenruptur, chronische Magendilatation, Duodenumdilatation mit Hypo- oder Aganglionose, Längsachsendrehung des Duodenum. Prakt Tierarzt 2000; 82: 729-736
• 18 Steinberg T, Hamann J, Deppenmeier S. Sekundäre chronische Magenobstipation durch idiopathische muskuläre Ileumhypertrophie bei einem Pferd. Pferdeheilkunde 2007; 23: 587-592
• 19 Bäuerlein V, Vervuert I, Venner M. Chronic gastric dilatation in horses: diagnosis, treatment, feeding management – A survey of 20 clinical cases. Pferdeheilkunde 2019; 35: 129-137
• 20 Lorenzo-Figueras M, Merrit A. Effects of exercise on gastric volume and pH in the proximal portion of the stomach of horse. Am J Vet Res 2002; 63: 1481-1487
• 21 Huskamp B, Knopf N, Scharner D. Spezielle Untersuchungen Magen. In: Die rektale und die sonografische Untersuchung beim Kolikpferd München: was Verlag; 2003: 38
• 22 Klohnen A. Abdominal ultrasonography in the equine patient with acute signs of colic. AAEP Proceedings 2012; 58: 11-18
• 23 Lores M, Stryhn H, McDuffee L, Rose P, Muirhead T. Transcutaneous ultrasonographic evaluation of gastric distension with fluid in horses. Am J Vet Res 2007; 68: 153-157
• 24 Reef VB. Adult abdominal ultrasonography. In: Equine Diagnostic Ultrasound Philadelphia: W. B. Saunders; 1998. 277. 283 331
• 25 Epstein K, Short D, Parente E, Reef V, Southwood L. Gastrointestinal ultrasonography in normal adult ponies. Vet Radiol Ultrasound 2008; 49: 282-286
• 26 Heller S, Bäuerlein V, Sabban C, Vervuert I, Venner M. Is a 12-hour fasting period sufficient to complete gastric emptying in horses?. Pferdeheilkunde 2022; 38: 16-23
• 27 Le Jeune S, Whitcomb MB. Ultrasound of the equine acute abdomen. Vet Clin North Am Equine Pract 2014; 30: 353-381
• 28 Bird AR, Knowles EJ, Sherlock CE, Pearson GR, Mair TS. The clinical and pathological features of gastric impaction in twelve horses. Equine Vet J 2012; 44 (43) 105-110
• 29 Heller S, Bäuerlein V, Sabban C, Vervuert I, Venner M. Is a transabdominal ultrasonographic examination of the stomach prior to gastroscopy of a horse a reliable method of predicting whether the stomach is empty?. Pferdeheilkunde 2022; 38: 404-412
• 30 Boswinkel M, Ellis AD, Sloet van Oldruitenborgh-Oosterbaan MM. The influence of low versus high fibre haylage diets in combination with training or pasture rest on equine gastric ulceration syndrome (EGUS). Pferdeheilkunde 2007; 23: 123-130
• 31 Vainio K, Sykes BW, Blikslager AT. Primary gastric impaction in horses: A retrospective study of 20 cases (2005–2008). Equine Vet Educ 2011; 23: 186-190
• 32 Winter JC, Schmitz RR, Gehlen H. Therapie der primären Magenüberladung des Pferdes. Pferdeheilkunde 2012; 28: 437-439
• 33 Nolen-Walston R, Paxson J, Ramey DW. Evidence-Based Gastrointestinal Medicine in Horses: Itʼs Not About Your Gut Instincts. Vet Clin North Am Equine Pract 2023; 243-266
• 34 Wong DM, Davis JL, White NA. Motility of the equine gastrointestinal tract: Physiology and pharmacotherapy. Equine Vet Educ 2011; 23: 88-100
• 35 Lee A, Kuo B. Metoclopramide in the treatment of diabetic gastroparesis. Exp Rev Endocrinol Metab 2010; 5: 653-662
• 36 Dowling PM. Prokinetic drugs: Metoclopramide and cisapride. Can Vet J 1995; 36: 115-116
• 37 Sanchez LC. Disorders of the Gastrointestinal System. In: Reed SM, Bayly WM, Sellon DC, Hrsg. Equine Internal Medicine St Louis: Elsevier; 2018. 801. 808
• 38 Okamura K, Sasaki N, Yamada M, Yamada H, Inokuma H. Effects of mosapride citrate, metoclopramide hydrochloride, lidocaine hydrochloride, and cisapride citrate on equine gastric emptying, small intestinal and caecal motility. Res Vet Sci 2009; 86: 302-308
• 39 Hunt JM, Gerring EL. A preliminary study of the effects of metoclopramide on equine gut activity. Vet Pharmacol Therap 1986; 9: 109-112
• 40 Holcombe SJ. Monitoring Gastrointestinal Function in the Equine Intensive Care Unit. Clin Tech Equine Pract 2003; 2: 156-164
• 41 Doherty T. Metoclopramide induced acute dystonic reactions in the horse. Equine Vet Educ 2016; 29: 569-571
• 42 Agass RF, Brennan M, Rendle DI. Extrapyramidal side effects following subcutaneous metoclopramide injection for the treatment of post operative ileus. Equine Vet Educ 2017; 29: 564-568
• 43 Dobler BC. Medikamenteneinsatz bei der Stute während der Gravidität [Dissertation]. München: LMU München; 2012: 228