For me, I've never personally seen a pickup full of debris on an engine that I had as a runner, because I've never looked at them. If they were full of debris, either the flush cleaned them out or the debris didn't cause any oil pressure problems - and every car of mine gets an OP gauge.
If he automatically pulls the pan, somebody will suggest to drop some caps and check some bearings, someone else will say while you're in there why not just put new bearings and a rear seal in, and it'll snowball.
I like to keep things simple until required otherwise.
It would be simple enough to flush the pan, install the heads/valvetrain/VCs/fresh oil, and do an oil pressure check with a mechanical gauge and an electric drill.
If pressure is low - is it notably lower than it was before (if we have a baseline with an aftermarket gauge) or is it low vs factory spec or expectations for a 140k engine?
If pressure is lower than before, no effort has been wasted, and he's only out 5 quarts of oil - proceed to remove the pan and dig deeper.
If pressure is good - does he have a problem?