A 66-year-old man presents with difficulty swallowing (dysphagia), initially for solids but now progressing to liquids over the past 3 months. He also...

Question

A 66-year-old man presents with difficulty swallowing (dysphagia), initially for solids but now progressing to liquids over the past 3 months. He also reports unintentional weight loss of 5kg. He is an ex-smoker and drinks alcohol moderately. What is the most appropriate initial investigation?

Accepted Answer

Urgent upper gastrointestinal endoscopy (OGD)

Answer

Barium swallow

Answer

24-hour oesophageal pH monitoring

Answer

Oesophageal manometry

Answer

CT scan of chest and abdomen

ukmla MCQ (SBA): Dysphagia / Suspected Oesophageal Cancer

A 66-year-old man presents with difficulty swallowing (dysphagia), initially for solids but now progressing to liquids over the past 3 months. He also reports unintentional weight loss of 5kg. He is an ex-smoker and drinks alcohol moderately. What is the most appropriate initial investigation?