Question

A 75-year-old man presents with a 6-month history of progressive difficulty swallowing, initially with solids, now also with liquids. He reports unintentional weight loss of 5kg. What is the most appropriate next investigation?

Accepted Answer

Urgent upper GI endoscopy (2-week wait referral)

Answer

Barium swallow

Answer

Trial of omeprazole

Answer

Manometry

Answer

24-hour pH monitoring

Practice question

A 75-year-old man presents with a 6-month history of progressive difficulty swallowing, initially with solids, now also with liquids. He reports unintentional weight loss of 5kg. What is the most appropriate next investigation?