Question

A 70-year-old man presents with progressive dysphagia first to solids then liquids and 5 kg weight loss over 3 months. He is a long-term smoker. What is the most appropriate initial investigation?

Accepted Answer

Upper gastrointestinal endoscopy with biopsy

Answer

Barium swallow only

Answer

CT scan of chest and abdomen

Answer

Empirical proton pump inhibitor trial for 8 weeks

Answer

Oesophageal manometry

Practice question

A 70-year-old man presents with progressive dysphagia first to solids then liquids and 5 kg weight loss over 3 months. He is a long-term smoker. What is the most appropriate initial investigation?