Question

A 58-year-old man presents with a 2-month history of progressive difficulty swallowing solids then liquids, weight loss, and regurgitation of undigested food. He has a 30-pack-year smoking history and drinks alcohol heavily. Which is the most appropriate initial investigation?

Accepted Answer

Upper endoscopy (oesophagogastroduodenoscopy) with biopsy

Answer

Flexible sigmoidoscopy

Answer

Barium swallow only

Answer

Empiric proton pump inhibitor trial for 8 weeks without investigation

Answer

CT abdomen only

Practice question

A 58-year-old man presents with a 2-month history of progressive difficulty swallowing solids then liquids, weight loss, and regurgitation of undigested food. He has a 30-pack-year smoking history and drinks alcohol heavily. Which is the most appropriate initial investigation?