Question

A 48-year-old man presents with a 3-month history of progressive difficulty swallowing, initially solids now also liquids. He reports significant unintentional weight loss (8 kg). He is a smoker of 20 years. What is the most urgent investigation required?

Accepted Answer

Upper GI endoscopy (oesophagogastroduodenoscopy - OGD)

Answer

Barium swallow study

Answer

CT scan of chest and abdomen

Answer

Oesophageal manometry

Answer

24-hour oesophageal pH monitoring

Practice question

A 48-year-old man presents with a 3-month history of progressive difficulty swallowing, initially solids now also liquids. He reports significant unintentional weight loss (8 kg). He is a smoker of 20 years. What is the most urgent investigation required?