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Presumptive on clinical signs and response to treatment (Sanchez)
Presumptive on clinical signs and response to treatment (Sanchez)
Definitive diagnosis requires endoscopy (cannot do in foals as need to starve prior to exam)
Definitive diagnosis requires endoscopy (cannot do in foals as need to starve prior to exam)
''EGUS was recently discussed at the 2010 Annual meeting between the Equine Insurers Forum (EIF) and the British Equine Veterinary Association (BEVA). The EIF maintained that in order to support claims for the long term costs associated with treatment of EGUS, there would be a requirement for veterinary surgeons to make a definitive diagnosis prior to prescribing omeprazole.(BEVA)''
===Endoscopy===
===Endoscopy===
===Pathology===
===Pathology===
==Treatment==
==Treatment==
Proton pump inhibitors: only omeprazole (Gastroguard) is licensed for horses. Given PO once daily (4mg/kg) for 3-4 wks, most effective drug at controlling HCl secretion (decreases basal and stimulated release). Expensive and not absorbed in foas with diarrhoea
Proton pump inhibitors: only omeprazole (Gastroguard) is licensed for horses. Given PO once daily (4mg/kg) for 3-4 wks, most effective drug at controlling HCl secretion (decreases basal and stimulated release). Expensive and not absorbed in foas with diarrhoea