• Minimal secretion between meals
  • Entry of food stimulates secretions via neural and humoral mechanisms:
    Neural
    • Pancreas is innervated by the vagus nerve which releases acetyl choline
    • When activated during the cephalic phase of digestion in anticipation of a meal, there is an increase in pancreatic acinar cell activity
    Humoral (Hormonal)

    Gastrin

    • Secreted by the G cells of the stomach in response to gastric distension
    • Functions include:
      • Stimulation of pancreatic acinar cells to secrete digestive enzymes in preparation for the arrival of carbohydrates, proteins and fats
      • Stimulation of gas gastric acid secretion by the parietal cells of the stomach

    Cholecystokinin (CCK)

    • Secreted by the duodenal mucosal cells in response to fat or protein rich chyme entering the duodenum
    • Functions include:
      • Increasing the production of bile in the liver
      • Stimulation of gallbladder contraction
      • Slowing gastric emptying
      • Stimulation of the pancreatic acinar cells to secrete digestive enzymes

    Secretin

    • Secreted by the duodenal mucosa in response to the presence of acid-containing chyme in the duodenum
    • Functions include:
      • Slowing gastric emptying
      • Stimulation of duct cells of the pancreas to secrete HCO ̅ to neutralise chyme