{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T01:54:10Z","timestamp":1784080450203,"version":"3.55.0"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"vor","delay-in-days":948,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2023,7,4]],"date-time":"2023-07-04T00:00:00Z","timestamp":1688428800000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Gastric impactions (GI) have been identified as primary lesions (lone GI; LGI) or associated with other intestinal lesions (concurrent GI; CGI). Anecdotally, CGI resolve more rapidly\u00a0with a better prognosis than LGI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To determine clinical, laboratory, and ultrasonographic findings, and short- and long-term survival in horses with GI. We hypothesized that LGI carries a worse prognosis than CGI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Animals<\/jats:title>\n                    <jats:p>Seventy-one horses from 2 referral hospitals (2007-2022).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective cohort study. Gastric impactions were defined as feed extending to the margo plicatus after \u226524\u2009hours of fasting. Clinical, diagnostic and outcome findings were compared between LGI and CGI. Long-term survival was determined by a questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty-seven horses had LGI, 44 had CGI. Large intestinal lesions (32\/44) were more common than small intestinal lesions (12\/44). Concurrent gastric impactions resolved more slowly than LGI (LGI median\u00a02 days, range 0-8; CGI median 4 days, range 1-10; P\u2009=\u2009.003). Short- (LGI 63%, 17\/27; CGI 59%, 26\/44; P\u2009=\u2009.75) and long-term survival (LGI 3.5\u2009\u00b1\u20091.9\u2009years; CGI 2.3\u2009\u00b1\u20092.3\u2009years; P\u2009=\u2009.42) were not significantly different. However, Lone gastric impactions were more likely to experience gastric rupture (LGI 29.6%, 8\/27; CGI 11.4%, 5\/44; P\u2009=\u2009.05). Lone gastric impactions were 8.7 times more likely to require dietary changes (LGI 72.7%, 8\/11; CGI 25%, 4\/16; 95% confidence interval [CI], 1.53-49.22; P\u2009=\u2009.01). Gastric impactions recurred in 21.7% (LGI, 6\/20; CGI, 4\/26; P\u2009=\u2009.23) of affected horses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Clinical Importance<\/jats:title>\n                    <jats:p>Lone gastric impactions and CGI present similarly with a comparable prognosis, but LGI are more likely to rupture. Long-term dietary changes are often necessary for horses with LGI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jvim.16735","type":"journal-article","created":{"date-parts":[[2023,7,5]],"date-time":"2023-07-05T00:47:06Z","timestamp":1688518026000},"page":"1544-1551","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Clinical presentation and outcome of gastric impactions with or without concurrent intestinal lesions in horses"],"prefix":"10.1093","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0558-280X","authenticated-orcid":false,"given":"Sophie E.","family":"Talbot","sequence":"first","affiliation":[{"name":"The Royal Veterinary College Department of Clinical Science and Services, , 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