Is Fat Absorbed through the Peritoneum?
A 10% fat solution (Liposyn) was infused (50 mi/kg) into the peritoneal cavity of four normal rabbits and left for five hours. Changes in the intraperitoneal volume were measured by using the radioactive albumin dilution technique. After an initial ultrafiltration, which peaked at one hour, the solution began to be absorbed and approximately 30% of the initial volume was removed at five hours. At the end of the infusion, dialysate fat concentration decreased to 85% of the initial value but the absolute amount absorbed was approximately 40% of the infused amount. Plasma total fat increased from 0.16 ± 0.03 to 1.35 ± 0.49 g/100 ml and plasma triglycerides increased from 94.7 ± 57.5 to 1247.8 ± 6.46 mg/100 ml. We observed no histological changes in the liver of the rabbits and the transmission electron microscopy demonstrated passage of lipid droplets into the mesenteric interstitium. The presence of droplets in micropinocytotic vesicles indicates that at least some of the lipid is transported through the cell by vesicular diacytosis. Our data indicate that fat emulsion is absorbed through the peritoneum slowly as the infused volume is absorbed. Under these conditions the solution cannot be used as a dialysis solution, but may be used for total parenteral nutrition in patients with normal kidney function who have no vascular access.