Evidence Checklist: Intestinal Surgery Residuals (Short Bowel Syndrome)
DC 7328
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Nexus opinion linking surgical residuals to service ("at least as likely as not")Critical
A medical opinion connecting current GI symptoms and functional limitations to the intestinal surgery performed during or connected to military service.
Treating Physician
GI evaluation documenting current residual symptomsCritical
Current gastroenterology evaluation documenting short bowel syndrome symptoms, malabsorption, adhesion pain, altered bowel habits, incontinence, or other residuals from the intestinal surgery.
Treatment Records
Malabsorption labs and nutritional status
Lab results documenting vitamin B12 deficiency (terminal ileum resection), fat-soluble vitamin deficiencies, bile salt malabsorption, and low albumin — indicating degree of malabsorption.
Lay Statements & Personal Documentation
Incapacitating episode frequency documentationCritical
Medical records or personal log documenting episodes of abdominal pain, obstruction, or diarrhea requiring bed rest or hospitalization per year.
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.
Disability Benefits Questionnaire (DBQ)
Completed DBQ Intestinal Conditions (other than Small or Large Intestine)Critical
Standardized form capturing surgical history, residual symptoms, incapacitating episode count, weight impact, and functional limitations.
Service Records
Complete surgical records from intestinal surgery performed during or related to serviceCritical
Operative reports documenting the procedure performed (resection, anastomosis, bowel repair), extent of bowel removed, complications, and post-operative course.
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.