“…A major factor indeterminingthedifferences is bacterial action within the colon (Wiggins, Howell, Kellock, and Stalder, 1969), and one product of this process is hydroxystearic acid (OHSA) which has been identified in the stools in normal subjects and in various disease states (Chipault, 1953;James, Webb, and Kellock, 1961;Rosenfeld and Hellman, 1962;Gompertz and Sammons, 1963). The proportion of OHSA varies in different conditions and it has been proposed that this may be of value in clinical diagnosis (Kim and Spritz, 1968a).…”