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Fig. 2D —Appearance of stomach in 35-year-old male world-class competitive speed eater on double-contrast barium study during rapid ingestion of 36 hot dogs for speed-eating test. Final frontal spot image of stomach at 10 minutes (after competitive speed eater had ingested 36 hot dogs) shows stomach as massively distended, food-filled sac occupying most of upper abdomen. Despite absence of gastric peristalsis, note emptying of barium into nondilated duodenum (arrows).