MRCEM Notes

Gastrointestinal hormones

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Below is a brief summary of the major hormones involved in food digestion:

SourceStimulusActions

Gastrin

G cells in antrum of the stomach
Distension of stomach, vagus nerves (mediated by gastrin-releasing peptide), luminal peptides/amino acids

Inhibited by:
  • low antral pH
  • somatostatin
Increase HCL, pepsinogen and IF secretion, increases gastric motility, stimulates parietal cell maturation

CCK

I cells in upper small intestine
Partially digested proteins and triglycerides
Increases secretion of enzyme-rich fluid from pancreas, contraction of gallbladder and relaxation of sphincter of Oddi, decreases gastric emptying, trophic effect on pancreatic acinar cells, induces satiety

Secretin

S cells in upper small intestine
Acidic chyme, fatty acids
Increases secretion of bicarbonate-rich fluid from pancreas and hepatic duct cells, decreases gastric acid secretion, trophic effect on pancreatic acinar cells

VIP

Small intestine, pancreas
Neural
Stimulates secretion by pancreas and intestines, inhibits acid secretion

Somatostatin

D cells in the pancreas & stomach
Fat, bile salts and glucose in the intestinal lumen
Decreases acid and pepsin secretion, decreases gastrin secretion, decreases pancreatic enzyme secretion, decreases insulin and glucagon secretion
inhibits trophic effects of gastrin, stimulates gastric mucous production & inhibits gastric emptying

Terms

CCK: cholecystokinin
VIP: vasoactive intestinal peptide
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