Longneck's partial review of the book Rant reminded me of this thread.

I watched the movie Choke about a week ago, which recently came out on DVD, and I have to say it is one of the worst book-to-movie adaptations I've ever seen. Aside from the horrible editing and overall filmmaking, the adaptation focused on the sex addiction part of the book and missed out completely on some of the true comical gems, including the ending. What a complete failure. I don't know what Chuck Palahniuk thinks about the movie, but if I were him I would be embarrassed to be associated with this piece of crap movie.

Choke is still one of my favorite novels I've ever read, but stay away from the movie.