This 68 year old ex-publican presented to his GP complaining of difficulty swallowing for the past two months. The difficulty started several weeks ago with solids getting “stuck,” but had become steadily worse. He also complained more recently of pain on swallowing. Over the past three months he admitted to losing 10 kg in weight. He has a history of alcohol dependency and smokes 40 cigarettes a day.
His GP sent him to hospital for the urgent procedure seen below.