Competitive Speed Eating: Truth and Consequences
Marc S. Levine1,
Geoffrey Spencer2,
Abass Alavi3 and
David C. Metz2
1 Department of Radiology, Hospital of the University of Pennsylvania,
University of Pennsylvania School of Medicine, 3400 Spruce St., Philadelphia,
PA 19104.
2 Division of Gastroenterology, Department of Medicine, Hospital of the
University of Pennsylvania, University of Pennsylvania School of Medicine,
Philadelphia, PA.
3 Division of Nuclear Medicine, Department of Radiology, Hospital of the
University of Pennsylvania, University of Pennsylvania School of Medicine,
Philadelphia, PA.
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Fig. 1A —Appearance of stomach in 29-year-old male control subject on
double-contrast barium study during rapid ingestion of seven hot dogs for
speed-eating test. Preliminary frontal spot image of stomach shows
normal-appearing stomach with no evidence of gastric dilatation or retained
debris. Gastric peristalsis was normal at fluoroscopy.
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Fig. 1B —Appearance of stomach in 29-year-old male control subject on
double-contrast barium study during rapid ingestion of seven hot dogs for
speed-eating test. Repeat frontal spot image during speed-eating test shows
hot dog pieces (arrows) in stomach and no gastric distention. Note
barium in small bowel.
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Fig. 1C —Appearance of stomach in 29-year-old male control subject on
double-contrast barium study during rapid ingestion of seven hot dogs for
speed-eating test. Final frontal spot image (after control subject had
ingested seven hot dogs) shows progressive accumulation of hot dog pieces
(arrows) in stomach and minimal gastric dilatation.
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Fig. 2A —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. Preliminary frontal spot image of
stomach shows mild gastric distention. Although some barium has emptied into
duodenum, gastric peristalsis was noticeably decreased at fluoroscopy.
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Fig. 2B —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. Repeat frontal spot image during early
portion of speed-eating test shows moderate gastric distention and hot dog
pieces (white arrows) in stomach. Also note food in distal esophagus
(black arrows). No gastric peristalsis was observed at
fluoroscopy.
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Fig. 2C —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. Frontal spot image at 6 minutes shows
innumerable retained hot dog pieces in dilated, flaccid stomach and absent
gastric peristalsis at fluoroscopy.
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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).
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Copyright © 2007 by the American Roentgen Ray Society.
