Virtual Clinic – Patient with progressive dysphagia

Virtual Clinic – Patient with progressive dysphagia

Review the following GP referral for a 70-year old man who has been referred via the 2-week wait pathway. 

Thank you for seeing this gentleman who has had progressive dysphagia for the last 8 months.  He is struggling with solid foods now, but is able to tolerate liquids.  He has moved to a soft diet as a result.  He has lost around 3.5kg in weight over the last 2 months (his weight is currently 95kg, giving him a BMI of 32). He does not smoke and drinks around 10 units of alcohol per week.  


Arnold, M., Soerjomataram, I., Ferlay, J. and Forman, D., 2015. Global incidence of oesophageal cancer by histological subtype in 2012. Gut64(3), pp.381-387.

Harley, M., Yin, L., Amanuel, H., Zeki, S., Burch, J., Kumar, M., Walker, G., Dewar, D. and Hayee, B.H., 2021. PTU-4 Prospective validation of the edinburgh dysphagia score in South-east London.

NICE, 2021, Gastrointestinal tract (upper) cancers – recognition and referral, available at (accessed: 4/11/22)

Rhatigan, E., Tyrmpas, I., Murray, G. and Plevris, J.N., 2010. Scoring system to identify patients at high risk of oesophageal cancer. Journal of British Surgery97(12), pp.1831-1837.

Kamran, U., King, D., Banks, M., Barker, S., Caffrey, M., Cheung, D., Evans, J., Fox, M., Glynn, M., Greenaway, J. and Gupta, S., 2021. OTU-12 Validation of Edinburgh dysphagia score in a national evaluation of upper GI cancer 2ww pathway.

Smyth, E.C., Lagergren, J., Fitzgerald, R.C., Lordick, F., Shah, M.A., Lagergren, P. and Cunningham, D., 2017. Oesophageal cancer. Nature reviews Disease primers3(1), pp.1-21.

Lagergren, J., Smyth, E., Cunningham, D. and Lagergren, P., 2017. Oesophageal cancer. The Lancet390(10110), pp.2383-2396.

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