A 58-year-old man presents with difficulty swallowing solids, which has progressed over 3 months, associated with weight loss of 6kg. He denies heartb...

Question

A 58-year-old man presents with difficulty swallowing solids, which has progressed over 3 months, associated with weight loss of 6kg. He denies heartburn. He is a smoker of 20 pack-years. What is the most appropriate next investigation according to NICE urgent cancer referral guidelines?

Accepted Answer

Urgent upper gastrointestinal endoscopy (within 2 weeks)

Answer

Barium swallow

Answer

Trial of omeprazole 40mg OD for 4 weeks

Answer

CT scan of chest and abdomen

Answer

Routine outpatient gastroenterology referral

ukmla MCQ (SBA): Dysphagia

A 58-year-old man presents with difficulty swallowing solids, which has progressed over 3 months, associated with weight loss of 6kg. He denies heartburn. He is a smoker of 20 pack-years. What is the most appropriate next investigation according to NICE urgent cancer referral guidelines?