The module.syncBuiltinESMExports() method updates all the live bindings for builtin ES Modules to match the properties of the CommonJS exports. It does not add or remove exported names from the ES Modules.

const fs = require('node:fs');
const assert = require('node:assert');
const { syncBuiltinESMExports } = require('node:module');

fs.readFile = newAPI;

delete fs.readFileSync;

function newAPI() {
  // ...
}

fs.newAPI = newAPI;

syncBuiltinESMExports();

import('node:fs').then((esmFS) => {
  // It syncs the existing readFile property with the new value
  assert.strictEqual(esmFS.readFile, newAPI);
  // readFileSync has been deleted from the required fs
  assert.strictEqual('readFileSync' in fs, false);
  // syncBuiltinESMExports() does not remove readFileSync from esmFS
  assert.strictEqual('readFileSync' in esmFS, true);
  // syncBuiltinESMExports() does not add names
  assert.strictEqual(esmFS.newAPI, undefined);
});