Glandular gastric ulcer disease in horses is distinct from squamous disease and responds differently to treatment. Advanced management addresses this frequently misunderstood condition.
Glandular gastric ulcer disease causes significant chronic abdominal pain that is frequently mismanaged because it is confused with or lumped together with squamous disease. Horses with EGGD that fail to respond to standard omeprazole treatment may be assumed to have behavioral problems or to have healed when they have not. The welfare consequence is prolonged unnecessary pain from underdiagnosed and undertreated ulceration. Specialist gastroscopy examination including careful glandular region assessment, combined with appropriate combination pharmacotherapy, significantly improves welfare outcomes for horses with this distinct condition.