31st July 2023

A 47-year-old man attends a GP appointment with a 4-week history of epigastric pain

A 47-year-old man attends a GP appointment with a 4-week history of epigastric pain, which has worsened over the past few days. He describes it as a dull ache, which is significantly worse after eating. He is a heavy smoker, with around 30 pack years. On examination, his abdomen is soft and non tender, but you note a large body habitus. Bloods are unremarkable, and the results of a stool antigen test are awaited.

What is the next management step?

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