Gastroenterology
Case 13: A Man with Difficulty in Swallowing
CASE
A 65‐year‐old man presents with a 2‐week history of progressive difficulty in swallowing. This is worse with meat and solid foods and he has had to vomit to clear obstruction on occasions. He has lost 6 kg in weight over the last 4–6 weeks. Examination demonstrates evidence of weight loss but is otherwise unremarkable.
Blood tests showed:
Hb 10.5 g/dL WCC 6.9 × 109/L Platelets 276 × 109/L Na 136 mmol/L K 3.6 mmol/L Urea 8.9 mmol/L Creatinine 120 µmol/L
Chest X‐ray is normal.
QUESTION 1
Your score this session: 0 of 0
The best next investigation would be: