CaseStudy271116 - 2 - Upper GI alarming symptomsCreated by:
A middle aged gentlemman of 59 years old, with background history of hypertension, hypercholesterolaemia, increased body mass index, and smoker of 25 pack years history, was referred by his GP to your clinic, due to worsening 4 months history of epigastric discomfort, bloating sensation. In addittion, patient also complainting of reduced appetite, early satiefy, and around 6 Kg of unintentional weight loss over the last 4 months. He also had some intermittent nausea and vomiting after eating, maybe around few times a week. The proton pump inhibitor given by GP was not effective. There was not lower GI symptoms. There was no family history of either upper or lower GI malihnancy. What is the investigation of choice you would be considering in this case ?? What is the major condition that we need to rule out ?