On a new physical symptom in the diagnosis of hernia of the esophageal opening of the diaphragm
Introduction. The article describes and scientifically substantiates the physical signs of hernia of the esophageal aperture of the diaphragm. Material and methods. Pathophysiological mechanisms leading to the appearance of abnormal peristalsis of the esophagus and stomach, which constitute the essence of the proposed symptom, are presented. The localization of points in which the esophageal-gastro-diaphragmatic noise is heard in this disease is justified. The results and discussion. The sensitivity and specificity of the new method for the detection of hernia of the esophageal aperture of the diaphragm were calculated, and the prognostic value was determined, which showed its high effectiveness as a diagnostic technique. The incidence of clinical symptoms in patients with hernia of the esophageal opening of the diaphragm is shown. Conclusion. The proposed physical method for diagnosing hernia of the esophageal aperture of the diaphragm is an attempt to fill the currently existing "diagnostic gap" between the subjective feelings of the patient with this disease and not always applicable instrumental methods.