Question

A 63-year-old man presents with progressive dysphagia to solids then liquids, weight loss and iron-deficiency anaemia. He is a long-term smoker. What is the single most appropriate initial investigation?

Accepted Answer

Urgent upper GI endoscopy within 2 weeks

Answer

Barium swallow

Answer

CT scan of chest and abdomen first

Answer

Trial of proton pump inhibitor for 4 weeks

Answer

Observe and review in 3 months

Practice question

A 63-year-old man presents with progressive dysphagia to solids then liquids, weight loss and iron-deficiency anaemia. He is a long-term smoker. What is the single most appropriate initial investigation?