The enteric nervous system II: gastrointestinal functions

Pharmacol Toxicol. 2003 Jun;92(6):249-57. doi: 10.1034/j.1600-0773.2003.920601.x.

Abstract

The enteric nervous system is involved in most of the physiological and pathophysiological processes in the gastrointestinal tract. This Minireview is part two of three and describes the role of the enteric nervous system in gastrointestinal functions (motility, exocrine and endocrine secretions, blood flow, and immune processes) in health and some disease states. In this context, the functional importance of the enteric nervous system for food intake, the gall bladder, and pancreas will be addressed. In specific, dysmotility, diarrhoea, constipation, non-occlusive intestinal ischaemia (intestinal angina), inflammation, cholelithiasis, cholecystitis, postcholecystectomy syndrome, and pancreatitis can be treated with neuroactive pharmacological agents. For example, serotonin receptor type four agonists can be used for the treatment of constipation, while nitric oxide synthesis inhibitors can be employed for the treatment of intestinal angina.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Digestive System / immunology
  • Digestive System / metabolism
  • Digestive System Physiological Phenomena*
  • Eating / physiology
  • Enteric Nervous System / physiology*
  • Enteric Nervous System / physiopathology
  • Gastrointestinal Agents / pharmacology
  • Gastrointestinal Agents / therapeutic use
  • Gastrointestinal Diseases / drug therapy
  • Gastrointestinal Diseases / physiopathology
  • Gastrointestinal Hormones / physiology
  • Gastrointestinal Motility / physiology
  • Humans
  • Neurotransmitter Agents / physiology
  • Regional Blood Flow / physiology

Substances

  • Gastrointestinal Agents
  • Gastrointestinal Hormones
  • Neurotransmitter Agents