A 62-year-old man presents with 4 months of progressive fati…
A 62-year-old man presents with 4 months of progressive fatigue and intermittent abdominal discomfort. He reports a recent change in bowel habits, describing narrower stools and alternating constipation and diarrhea. Over the past 2 months, he has noticed dark red blood mixed with his stool. He also reports an unintentional 12-pound weight loss.On examination, he appears pale. Hemoglobin is 9.8 g/dL.Which of the following is the most appropriate next step in evaluation?