History and clinical evaluation: Duration of dysphagia, nutritional status
Atelectasis, fibrosis (s/p aspiration pneumonia) Degree of esophageal dilatation and lengthening Non-relaxing lower esophageal sphincter, lack of peristalsis
Rule out esophageal mucosal lesions, Candida colonization, associated gastroduodenal disease
Chest X-ray: Barium swallow study: Esophageal manometry:
CT scan and/or endoscopic ultrasound (EUS) in selected patients: Rule out pseudoachalasia (malignancy-induced)
Insert a double-lumen nasogastric tube 12h before surgery to wash and clean the esophageal lumen from food debris Short-term antibiotic and antithrombotic prophylaxis
Was this article helpful?