Question

A 52-year-old man with long-standing gastro-oesophageal reflux disease presents with progressive dysphagia to solids and weight loss of 6 kg over 3 months. He has been on proton pump inhibitors for several years. According to Australian guidelines, what is the most appropriate next investigation?

Accepted Answer

Upper gastrointestinal endoscopy with biopsy

Answer

Barium swallow only

Answer

Repeat trial of high-dose proton pump inhibitor for 8 weeks

Answer

Helicobacter pylori serology only

Answer

CT abdomen with contrast as first test

Practice question

A 52-year-old man with long-standing gastro-oesophageal reflux disease presents with progressive dysphagia to solids and weight loss of 6 kg over 3 months. He has been on proton pump inhibitors for several years. According to Australian guidelines, what is the most appropriate next investigation?