Question

A 62-year-old woman presents with a 3-month history of progressive dysphagia, initially for solids now also for liquids, associated with significant weight loss (5 kg). She is an ex-smoker with a history of GORD. What is the most appropriate next investigation according to NICE NG12?

Accepted Answer

Urgent upper GI endoscopy (within 2 weeks)

Answer

Barium swallow

Answer

Trial of high-dose PPI

Answer

Oesophageal manometry

Answer

24-hour pH monitoring

Practice question

A 62-year-old woman presents with a 3-month history of progressive dysphagia, initially for solids now also for liquids, associated with significant weight loss (5 kg). She is an ex-smoker with a history of GORD. What is the most appropriate next investigation according to NICE NG12?