Question

A 45-year-old man with a history of GORD controlled on Omeprazole presents with progressive dysphagia, primarily to solid foods, over the past 3 months. He also reports unintentional weight loss of 5kg. What is the most appropriate next investigation?

Accepted Answer

Urgent upper GI endoscopy (OGD)

Answer

Barium swallow study

Answer

Increase Omeprazole dose

Answer

Oesophageal manometry

Answer

Trial an H2 receptor antagonist

Practice question

A 45-year-old man with a history of GORD controlled on Omeprazole presents with progressive dysphagia, primarily to solid foods, over the past 3 months. He also reports unintentional weight loss of 5kg. What is the most appropriate next investigation?