Esophagogastroduodenoscopy (EGD) is essential for evaluating mucosal abnormalities, assessing the degree of esophagitis, and excluding Barrett's esophagus or malignancy. Careful attention is paid to the location of the gastroesophageal junction and the extent of the hiatal hernia. The presence of a large intrathoracic stomach can make maneuvering the endoscope challenging, requiring meticulous technique and sometimes specialized endoscopes. Biopsies are taken as indicated. While endoscopy provides valuable information about the mucosal lining, it does not fully define the anatomical details required for surgical planning.
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