Question

A 66-year-old man presents with gradual onset dysphagia, initially to solids then progressing to liquids over 6 months, associated with significant weight loss (8kg). He is an ex-smoker and drinks 20 units of alcohol per week. What is the single most important investigation to perform urgently?

Accepted Answer

Upper GI endoscopy

Answer

Barium swallow

Answer

Oesophageal manometry

Answer

24-hour pH monitoring

Answer

Chest X-ray

Practice question

A 66-year-old man presents with gradual onset dysphagia, initially to solids then progressing to liquids over 6 months, associated with significant weight loss (8kg). He is an ex-smoker and drinks 20 units of alcohol per week. What is the single most important investigation to perform urgently?