4 Months Of Intermittent in Medicine / Internal Medicine — 38yo Man | Gastroenterology | SMLE Q#16573
SMLE Question #16573
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 38-year-old man with a 10-year history of gastroesophageal reflux disease treated with pantoprazole presents with 4 months of intermittent dysphagia for solid foods. He denies weight loss, odynophagia, hematemesis, or melena. Physical examination is unremarkable, and he has never had an upper endoscopy. What is the most appropriate next investigation?
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