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This approach is performed by making small incisions in the abdomen and in the chest for removal of the esophagus. The stomach is most commonly used for esophageal replacement. To restore swallowing, the stomach is then connected to the remaining part of the esophagus in the chest or in the neck via a neck incision, a procedure called gastric pull-up. Studies have shown that this procedure can be performed with less morbidity and comparable oncologic results, compared to a standard esophagectomy.