Question

A 30-year-old woman with chronic gastro-oesophageal reflux disease presents with progressive dysphagia and weight loss. According to Canadian guidelines, which is the most appropriate next step?

Accepted Answer

Upper endoscopy to evaluate for malignancy or stricture

Answer

Empiric proton pump inhibitor dose increase only

Answer

Barium swallow only

Answer

H. pylori serology only

Answer

Reassurance and follow-up in 6 months

Practice question

A 30-year-old woman with chronic gastro-oesophageal reflux disease presents with progressive dysphagia and weight loss. According to Canadian guidelines, which is the most appropriate next step?