Question

A 60-year-old man presents with progressive dysphagia first to solids, then to liquids, and unintentional weight loss of 8 kg over 3 months. He is a long-term smoker and heavy alcohol user. What is the most appropriate initial investigation?

Accepted Answer

Urgent upper GI endoscopy with biopsy

Answer

Barium swallow

Answer

Contrast-enhanced CT of abdomen only

Answer

Helicobacter pylori breath test

Answer

Empirical PPI therapy for 8 weeks then review

Practice question

A 60-year-old man presents with progressive dysphagia first to solids, then to liquids, and unintentional weight loss of 8 kg over 3 months. He is a long-term smoker and heavy alcohol user. What is the most appropriate initial investigation?