Don't you find it a bit suspicious that all of his stories are like this? Like, the story about the hot tub, bug-chasers, incest and guts, the woman in hell where it's just semen everywhere, the novel about the gangbang and all the gross ways to die from sex...it just starts to look like he can't slow down because he set the gross-out bar too high...
(Btw I still really like Lullaby and Invisible Monsters)
EDIT: THAT GANGBANG NOVEL IS ABOUT A PORNSTAR'S. ANGRY SON WAITING IN LINE TO FUCK HER TO DEATH