Evidence Checklist: Esophageal Stricture

Barium swallow study documenting stricture location and severityCritical

Barium esophagogram documenting the narrowing location (upper, mid, distal esophagus), length, and degree of luminal narrowing, and any associated mucosal abnormalities.

Upper endoscopy with dilation recordsCritical

EGD reports documenting stricture visualization, biopsy results, and dilation procedures (bougie or balloon) with size progression over time. Dilation frequency documents severity.

Nexus opinion linking esophageal stricture to service ("at least as likely as not")Critical

A medical opinion connecting stricture formation to service-connected GERD, caustic ingestion during service, radiation therapy for service-connected cancer, or post-surgical scarring from in-service procedures.

Dysphagia severity documentation

Clinical documentation of swallowing difficulty — solids only, soft foods required, or liquids only tolerated — with Eating Assessment Tool (EAT-10) scores or similar functional dysphagia assessment.

Dilation procedure frequency documentation

Records tracking how frequently you require esophageal dilation procedures — monthly dilations indicate severe, refractory stricture disease.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Completed DBQ Esophageal ConditionsCritical

Standardized form capturing stricture location, dysphagia severity, dilation requirements, weight impact, and functional limitations.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.