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Transhiatal esophagectomy is performed via an incision in the abdomen for removal of the esophagus. The stomach or the colon (large bowel) is then used to replace the esophagus. To restore swallowing, the small remaining upper part of the esophagus is then connected to the stomach (a gastric pull-up procedure) or the colon (a colon interposition) by making a second incision in the neck.