Cephalic phase of gastric secretion is mediated by
## **Core Concept**
The cephalic phase of gastric secretion is an initial phase of digestion that occurs even before food enters the stomach. It is mediated by the nervous system, specifically through the **vagus nerve**, in response to the sight, smell, taste, or thought of food. This phase prepares the stomach for incoming food by stimulating gastric secretions.
## **Why the Correct Answer is Right**
The correct answer, **Vagus nerve**, is right because the cephalic phase of gastric secretion is primarily controlled by the **parasympathetic nervous system**, with the vagus nerve playing a crucial role. When the brain anticipates food intake, it sends signals through the vagus nerve to stimulate the release of **acetylcholine**, which in turn stimulates the parietal cells to secrete gastric juice. This process involves the release of **gastrin-releasing peptide (GRP)** and **vagal gastrin-releasing peptides**, which stimulate the release of gastrin, further enhancing gastric secretion.
## **Why Each Wrong Option is Incorrect**
- **Option A:** While gastrin is a hormone involved in stimulating gastric secretion, it is primarily released in response to food entering the stomach (gastric phase) and is not the mediator of the cephalic phase.
- **Option B:** The enteric nervous system does play a role in regulating gastrointestinal functions, including influencing gastric secretion. However, it is not the primary mediator of the cephalic phase of gastric secretion.
- **Option C:** Although **sympathetic stimulation** can influence gastrointestinal functions, the cephalic phase of gastric secretion is specifically mediated by the parasympathetic nervous system, primarily through the vagus nerve.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that the cephalic phase of digestion can be conditioned, as famously demonstrated by Ivan Pavlov's experiments with dogs, where the sound of a bell (conditioned stimulus) eventually led to salivation and gastric secretion in anticipation of food. This highlights the significant role of the nervous system in regulating digestive processes.
## **Correct Answer: D. Vagus nerve**