Fernandes, Van de Kamer and Weijers (1) in studying a child with chylothorax found that the pattern of the fatty acids in the chyle was influenced by the kind of fat fed, but significant differences between chyle and dietary fat always remained. Recent experiments with carboxyl-labeled fatty acids by Blomstrand and co-workers (2-4) indicate that the chyle triglycerides constitute the main transport form of ingested fatty acids in man. Detailed information about the influence of dietary fatty acids on the fatty acid composition of the different lipid classes of human chyle is, however, still lacking. Furthermore, in order to effectively evaluate studies on the postabsorptive metabolism of chylomicron fatty acids, it is necessary to ascertain the nature of the fatty acid components of the various chyle lipids of thoracic duct lymph.Development of methods for obtaining thoracic duct lymph from human beings (5) and the analysis by gas-liquid chromatography (GLC) of the different lipids of human chyle after feeding a well defined triglyceride has made it possible to study the relationship between the fatty acid patterns of the different lymph lipid classes and the dietary fat.
EXPERIMENTALExperimental design. Patient A of this study was a 56 year old man with inoperable adenocarcinoma of the left lung. He was in good condition during the whole investigation. He was nourished for 6 days solely by an orally administered liquid formula (Table I) supplemented with vitamins and minerals (6). The daily intake of formula was divided into 5 equal portions fed at 7 and 10 a.m. and at 1, 4 and 7 p.m. Tea or coffee was offered ad libitum. The fat in the formula diet con-