31st July 2023

You review a 47-year-old man in A&E, who has a background of alcohol excess

You review a 47-year-old man in A&E, who has a background of alcohol excess and a 30-pack smoking history. He reports a 2-week history of dull epigastric pain, nausea, bloating and reflux. He finds his symptoms are exacerbated a few hours after food. Examination is unremarkable, and observations within normal ranges. Blood tests show nothing of significance.

What is the next stage in investigation?

Select the SINGLE most appropriate option from the list below. Select ONE option only.