Hormones and associated disorders | Medibuddy
8th February 2024

Hormones and associated disorders

There are a myriad of hormones that are secreted by the GI tract. Most act locally within the GI tract to regulate the digestion process. We summarise the action of these hormones in the table below. 

Hormones Site of secretion Stimulus for secretion Action
Gastrin G cells of the stomach Stomach distension

Vagal innervation

Small peptides and amino acids

(Inhibited by H+ in stomach and somatostatin)

Stimulates gastric H+, pepsin and intrinsic factor secretion

Stimulates gastric emptying

Stimulates pancreatic HCO3- and enzyme secretion

Cholecystokinin (CKK) I cells of duodenum and jejunum Small peptides and amino acids

Fatty acids

Some cations, e.g., Ca2+ and Mg2+

Stimulates pancreatic enzyme and HCO3- secretion

Stimulates gallbladder contraction and Sphincter of Oddi relaxation

Inhibits gastric emptying

Secretin S cells of the duodenum H+ in duodenum Stimulates pancreatic HCO3- secretion

Inhibits gastric H+ secretion

Inhibits gastric emptying and small intestine motility

Gastric Inhibitory Peptide

(GIP)

K cells of duodenum and jejunum Amino acids, fatty acids and glucose Stimulates insulin secretion

Inhibits gastric H+ secretion and motility

Motilin Duodenum and jejunum Stimulates gastric and intestinal motility
Pancreatic Peptide

(PP)

Pancreas Inhibits pancreatic enzyme secretion

Relaxes gallbladder

Vasoactive Intestinal Peptide

(VIP)

Small intestine Stimulates pancreatic and intestinal secretion

Inhibits gastric H+ and pancreatic secretion

Somatostatin D cells throughout the GI tract Inhibited by vagal stimulation Inhibits the release of all GI hormones

Inhibits gastric H+ secretion

Table 4: Summary of hormones secreted by the GI tract. Own table. 

In most conditions, pathology develops in excess of these hormones rather than deficiencies. Increased gastrin levels can be found in gastrinomas, Zollinger-Ellison syndrome, achlorhydria, vagotomy, short bowel syndrome and iatrogenic ( PPI/H2 antagonist). Increased VIP can be seen in VIPoma. Increased PP can be seen in pancreatic malignancies. Decreased gastrin levels can be found in fasting patients and conditions stimulating hyperacidity.

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