During childhood, the syndrome is
unlikely to have any specific implications for anesthesia, as these are
related to the presence of malignancies and their medical and surgical
treatment. Determine the competency of the lower esophageal sphincter. A history of
heartburn, reflux, or regurgitation may be elicited. Determine whether
obstruction of the esophagus is present. Malnutrition is common in patients
with esophageal carcinoma, and preoperative parenteral nutrition may have a
role in improving the reserves and immunity status. Preoperative
investigations in these patients should include chest radiographs, lung
function tests including arterial blood gas analysis to evaluate if one-lung
anesthesia would be tolerated, a complete blood count, coagulation status,
urea and electrolyte levels, nutritional markers (e.g., serum protein, albumin),
and an electrocardiogram.