Gastric Motility Regulation refers to the complex neuro-hormonal control mechanisms that govern the rhythmic contractions and relaxation of the stomach muscles, which are necessary for the mechanical breakdown and controlled emptying of food into the small intestine. Proper regulation ensures efficient digestion, nutrient absorption, and prevents issues such as gastroparesis or rapid transit. This process is highly influenced by the enteric nervous system and systemic endocrine signals.
Origin
The understanding of gastric motility originates from classic gastroenterology and the discovery of the gut-brain axis, which emphasizes the bidirectional communication between the central nervous system and the gut. Hormones like motilin and ghrelin were identified as key regulators of this process. The term highlights the need for precise, coordinated muscular action.
Mechanism
Motility is coordinated by the enteric nervous system, the “second brain,” which acts locally but is modulated by central signals. Hormones released in response to food ingestion, such as cholecystokinin (CCK) and gastrin, fine-tune the rate of stomach emptying. Vagal nerve input, a major component of the parasympathetic nervous system, also plays a crucial role in stimulating contractions. Dysregulation, often influenced by stress hormones like cortisol, can compromise the entire digestive cascade.
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