A 67-year-old man presents with progressive dysphagia, initially to solids and now to liquids, over the past 3 months. He has also lost 5kg in weight....

Question

A 67-year-old man presents with progressive dysphagia, initially to solids and now to liquids, over the past 3 months. He has also lost 5kg in weight. He has a 40-pack-year smoking history and drinks alcohol regularly. What is the most appropriate next investigation according to NICE NG12?

Accepted Answer

Urgent direct access upper GI endoscopy (within 2 weeks)

Answer

Barium swallow

Answer

CT scan of chest and abdomen

Answer

Oesophageal manometry

Answer

Trial of proton pump inhibitor (PPI)

mrcgp akt MCQ (SBA): Dysphagia (Suspected Cancer)

A 67-year-old man presents with progressive dysphagia, initially to solids and now to liquids, over the past 3 months. He has also lost 5kg in weight. He has a 40-pack-year smoking history and drinks alcohol regularly. What is the most appropriate next investigation according to NICE NG12?