Question

A 45-year-old man with long-standing heartburn develops progressive dysphagia to solids over 3 months and has lost 6 kg unintentionally. According to cancer referral principles in Australia, what is the most appropriate next step?

Accepted Answer

Arrange urgent gastroscopy within 2 weeks

Answer

Trial of high-dose PPI for 8 weeks

Answer

Barium swallow followed by routine outpatient review in 3 months

Answer

Helicobacter pylori breath test and treat if positive

Answer

Reassure and review in 6 months

Practice question

A 45-year-old man with long-standing heartburn develops progressive dysphagia to solids over 3 months and has lost 6 kg unintentionally. According to cancer referral principles in Australia, what is the most appropriate next step?