Question

A 67-year-old man presents with progressive dysphagia to solids and weight loss over 3 months. He has a 40-pack-year smoking history and long-standing reflux. What is the most appropriate next step?

Accepted Answer

Upper GI endoscopy with biopsy

Answer

Barium swallow study only

Answer

Trial of high-dose PPI for 8 weeks

Answer

Oesophageal manometry

Answer

Reassurance and review in 3 months

Practice question

A 67-year-old man presents with progressive dysphagia to solids and weight loss over 3 months. He has a 40-pack-year smoking history and long-standing reflux. What is the most appropriate next step?