Several studies on alcohol and gastric emptying using the 13 C breath test showed that alcohol consumption delayed gastric emptying of meals in healthy male subjects. However, they did not employ female subjects, and the retention time of alcoholic beverages in the stomach has not been examined, yet. We examined the retention time (= gastric emptying rate) of alcoholic beverages in the stomach in healthy male and female subjects. We also examined whether the congeners (nonalcoholic components) of red wine have any effect on gastric emptying. The retention time of 60 mL of red wine, vodka, congeners of red wine, or mineral water, was measured using a 13 Clabeled acetic acid breath test. In male subjects, the retention time of wine and vodka was significantly longer than that of congeners and mineral water. In female subjects, although the 13 C content in the breath was slightly but significantly decreased by wine and congeners, but not by vodka, and the parameters for gastric emptying did not differ significantly among the 4 drinks. That is, alcohol hardly influenced the retention time in female subjects. In conclusion, there are sex differences in the gastric emptying rate of alcohol.Alcohol is known to have the potential to modify food intake (18,20). Alcohol consumption prior to a meal has been reported to promote greater food intake than non-alcoholic preloads (8,19). As the rate of gastric emptying and satiety are closely related to each other: delayed gastric emptying reduces hunger sensations (10), we thought that alcohol ingestion might have enhanced gastric emptying of the meal. In 1993, the measurement of the gastric emptying rate of solids using a carbon thirteen-labeled ( 13 C) octanoic acid breath test was carried out (5), and several studies on alcohol and gastric emptying using the 13 C breath test were reported (3, 6, 11). These studies showed that alcohol consumption delayed gastric emptying of meals. In detail, Hainrich et al. (6) examined the effect of 300 mL of white wine (containing 13% alcohol) followed by 20 mL of schnapps (containing 40% alcohol) on the gastric emptying of cheese fondue, and found that drinking alcoholic beverages prolonged the gastric emptying time of the cheese fondue (6). Franke et al. (2,3) determined the retention time of various alcohol beverages (500 mL beer, 125 mL whisky etc.) and the effect of alcohol beverages (300 mL) on gastric emptying of solid meals. On the other hand, most of the acetaldehyde generated during alcohol metabolism is eliminated by liver mitochondrial aldehyde dehydrogenase 2 (ALDH2). Although the majority of Caucasians possess the active form of ALDH2 (2*1/2*1), more than 40% of Japanese have the inactive form of ALDH2, encoded either as heterozygous ALDH2*1/2*2 or as homozygous ALDH2*2 (9). These subjects (with an inactive form of ALDH2) experience facial flushing, palpitation and nausea when drinking alcohol. Therefore,