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Progressive dysphagia — ABFM Board MCQ

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HardGI/HepatologyProgressive dysphagiaABFM Board

A 62-year-old man has dysphagia to solids that progressed to liquids over 4 months and a 14-lb weight loss. He smoked for 35 years. Hemoglobin is 10.8 g/dL. Which of the following is the most appropriate next step?

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Correct answer: E — Upper endoscopy

Progressive dysphagia, weight loss, smoking history, and anemia are alarm features concerning for esophageal malignancy or stricture. Upper endoscopy is indicated.

Reference: ACG Dysphagia Guideline