Page 833 - Equine Clinical Medicine, Surgery and Reproduction, 2nd Edition

808 CHAPTER 4

VetBooks.ir Table 4.6 Grading system for ESGD 4.134

GRADE DESCRIPTION
0 Intact mucosa with a completely normal appearance
and no areas of hyperkeratosis
1 The mucosa is intact but there are areas of
hyperkeratosis
2 Small (<2 cm) single ulcer or smaller multifocal
ulcers
3 Large (>2 cm) single ulcer or large multifocal
ulcers
4 Extensive ulceration that may involve coalescence
of multiple ulcers. Bleeding may be evident
Fig. 4.134 Normal stomach (grade 0). The area of
glandular mucosa is to the right of the image and the
non-glandular area is to the left.

4.135 4.136

Fig. 4.135 Grade 2 ESGD characterised by a single Fig. 4.136 Grade 3 ESGD. A large ulcer that is
superficial ulcer. deeper than the ulcer in 4.134 is evident, as are
smaller ulcers in the distance.
4.137 4.138

Fig. 4.137 Grade 4 ESGD. Note the bleeding ulcer. Fig. 4.138 A severe EGGD lesion involving the
pyloric antrum.