Yatsenko-Gakkera Bougienage

Yatsenko Hacker's bougienage is an operation performed to treat esophageal stenosis. It is used in cases where the diameter of the esophagus has become much smaller than its lumen. There are two main reasons for a narrowed duct: a hiatal hernia or other medical problems that impair the functioning of the muscles and muscles of the esophageal column. Regardless of the reason for their appearance, narrowing leads to the fact that food no longer passes through the esophagus correctly and the esophagus begins to work incorrectly. The main feature of this operation is the use of bougies of various diameters. During conventional bougienage, the “arsenal” of bougies is in the hands of the endoscopist, and during bougienage using the Yatsenko-Gakker method, a larger bougie is first pulled into the esophagus to widen the passage. To complete this operation, bougienage is performed a second time, only this time an object of smaller diameter is used, and so on until the lumen of the esophagus is completely normalized. Sometimes the cause of the deformity remains small, but a minor probe remains, due to which the patient experiences dysphagia and difficulty swallowing. In this case, in order to eliminate this cause, partial divulsion is performed. The essence of the procedure is the subsequent pulling on the still swollen lower part of the narrowed area, on which an infiltrate will form as a result. It eventually turns into connective tissue. On the tissue, which is penetrated by vascular tissues, a scar appears - a kind of “screed” in the future, subsequently leading to irreversible restoration of the esophagus throughout the entire examined area. In addition to the listed procedures, in rare cases you can resort to obstructive esophagotomy - a radical operation,