Physicochemical characteristics of emulsions during fat digestion in the human stomach and duodenum. Armand, Martine, Patrick Borel, Berengere Pasquier, Christophe Dubois, Michele Senft, Marc Andre, Jacques Peyrot, Jacques Salducci, and Denis Lairon. Unit[acute]e 130-INSERM (National Institute of Health and Medical Research), 18 avenue Mozart, 13009 Marseille, France, INRA, Unit[acute]e des Maladies M[acute]etaboliques, CRNH, BP 321, 58 rue Montalembert, 63009 Clermont-Ferrand cedex 1, France, Service d'Hepato-Gastro-Enterologie, Centre Hospitalier Universitaire Nord, 13015 Marseille, France
APStracts 2:0231G, 1995.
Seven fasting subjects were fitted with nasogastric and nasoduodenal tubes and received intragastrically a coarsely emulsified test meal. Gastric and duodenal aspirates were collected after 1, 2, 3 and 4 h. In the duodenum, most lipids (&GT90%) were present as emulsified droplets sizing 1-100 [mu]m. Large droplets and unemulsified material present in the test meal (&GT 100 [mu]m) disappeared while smaller droplets (1-50 [mu]m) were generated after 1h digestion. Thus, the median lipid droplet diameter significantly decreased (19.6 vs 56.5 [mu]m in the test meal) and the droplet surface area significantly increased (1.58 vs 0.70 m2/g fat). Intermediate figures for droplet diameter were obtained, i.e. 34.3, 46.3, 27.6 [mu]m after 2, 3 and 4 h, respectively. In the stomach, a comparable emulsion particle-size pattern was observed with droplet median diameters such as 17.2, 37.9, 52.4 and 41.6 [mu]m after 1, 2, 3, and 4 h. Nevertheless, the extent of triglyceride hydrolysis was much lower in the stomach (6 -16%) than in the duodenum (42-45%) where small droplets were enriched in lipolytic products, cholesterol and phospholipids. The present findings show for the first time that most dietary lipids are present in the human duodenum as emulsified droplets of size 1-50 [mu]m and that no further marked emulsification of dietary fat occurs in the duodenum compared to the stomach.

Received 30 May 1995; accepted in final form 4 November 1995.
APS Manuscript Number G229-5.
Article publication pending Am. J. Physiol. (Gastrointest. Liver
Physiology).
ISSN 1080-4757 Copyright 1995 The American Physiological Society.
Published in APStracts on 30 November 95