Question

A 56-year-old man with a long history of heartburn presents with new-onset dysphagia to solids and unintentional weight loss of 6 kg over 3 months. He has been taking proton pump inhibitors intermittently. What is the most appropriate next investigation?

Accepted Answer

Urgent upper gastrointestinal endoscopy

Answer

H. pylori urea breath test

Answer

Empirical high-dose proton pump inhibitor therapy for 8 weeks

Answer

Barium swallow only

Answer

24-hour oesophageal pH monitoring

Practice question

A 56-year-old man with a long history of heartburn presents with new-onset dysphagia to solids and unintentional weight loss of 6 kg over 3 months. He has been taking proton pump inhibitors intermittently. What is the most appropriate next investigation?