Question

A 65-year-old man presents with progressive dysphagia to solids, weight loss and iron-deficiency anaemia. He is a long-term smoker and drinker. What is the most appropriate initial investigation to confirm the diagnosis?

Accepted Answer

Upper gastrointestinal endoscopy with biopsy

Answer

Barium swallow study

Answer

CT scan of the chest and abdomen

Answer

Empirical proton pump inhibitor trial for 8 weeks

Answer

Helicobacter pylori breath test

Practice question

A 65-year-old man presents with progressive dysphagia to solids, weight loss and iron-deficiency anaemia. He is a long-term smoker and drinker. What is the most appropriate initial investigation to confirm the diagnosis?