This refers to the efferent signaling and resulting physiological actions generated by the intrinsic nervous system of the gastrointestinal tract, often termed the “second brain.” This output governs crucial gut functions, including motility, secretion of digestive enzymes and hormones, and local blood flow regulation. The quality and pattern of this output are profoundly influenced by both luminal contents and signals from the central nervous system.
Origin
The concept is rooted in classical neurophysiology, specifically the study of the autonomic nervous system, and the later recognition of the gut’s extensive, independent neural network. The term highlights the functional consequence of this intrinsic system, which can operate autonomously but is also modulated by the central nervous system. Clinical attention focuses on optimizing this output to improve digestive efficiency and overall systemic health.
Mechanism
The enteric nervous system utilizes a complex array of neurotransmitters, including serotonin, acetylcholine, and various neuropeptides, to coordinate the peristaltic reflex and control mucosal function. Sensory neurons within the gut wall detect mechanical and chemical stimuli, generating efferent signals that directly influence the smooth muscle and secretory cells. The integrity of this output is essential for proper nutrient absorption and the balanced release of key gut hormones that regulate appetite and metabolism.
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