A patient presents with dysphagia of 4 weeks duration. Now he is able to swallow liquid food only. Which of the following is the one investigation to be done?
Carcinoma Esophagus: Barium swallow is the first investigation for an esophageal disease presenting with dysphagia (it can show irregular filling defect with or without proximal dilatation, annular lesion appear as constricting bands) Barium Swallow A barium swallow is recommended for any patient presenting with dysphagia. The esophagram gives an overview of anatomy and function It is able to differentiate intraluminal from intramural lesions and to discriminate between intrinsic (from a mass protruding into the lumen) and extrinsic (from compression of a structures outside the esophagus) compression The classic finding of an apple-core lesion in patients with esophageal cancer is recognised easily Endoscopy and biopsy is the investigation of choice for CA Esophagus For adequate assessment, both barium swallow and endoscopy are required. Ref: Sabiston 20th edition Pgno: 1028
Barium studies
Upper GI Endoscopy
CT Scan
Esophageal manometry
G.I.T