Question

A 55-year-old man presents with a 6-week history of progressive dysphagia, initially with solids and now also with liquids. He has lost 4kg in weight. He is a smoker. What is the most appropriate initial investigation?

Accepted Answer

Urgent direct access Gastroscopy (OGD)

Answer

Barium swallow

Answer

CT chest, abdomen, and pelvis

Answer

Manometry

Answer

pH monitoring (24-hour)

Practice question

A 55-year-old man presents with a 6-week history of progressive dysphagia, initially with solids and now also with liquids. He has lost 4kg in weight. He is a smoker. What is the most appropriate initial investigation?