Upper endoscopy. We do not perform routine screening for esophageal cancer. In japan where the risk of esophageal cancer is higher there is greater use of this test for screening. When patients do have symptoms of difficulty swallowing, pain on swallowing, hemoptysis (vomiting blood), anemic for unknown cause, heart burn not responsive to medication, episgastric pain (pain upper mid abdomen), endoscopy is needed.
Generally, no... Generally, no. Screening of unknown/asymptomatic patients is not routine. The major screening is by endoscopy (scope down esophagus). It is not used in a "routine" manner per se, rather, it is used to investigate symptoms or follow-up longterm condition like gerd, etc... This link may help: http://www.Cancer.Net/cancer-types/esophageal-cancer/risk-factors.