Evidence Checklist: Pancreatitis

CT abdomen or MRCP documenting pancreatic inflammation or changesCritical

CT scan of the abdomen (with contrast) or MRCP showing pancreatic edema, necrosis, pseudocysts, ductal dilation, or parenchymal atrophy consistent with acute or chronic pancreatitis.

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

A medical opinion connecting pancreatitis to service-connected alcohol use disorder, hypertriglyceridemia, gallstone disease, or medications (e.g., steroids, tetracyclines) used during service.

Serum lipase and amylase levels during acute episodesCritical

Lab results showing elevated serum lipase (>=3x upper limit of normal) and/or amylase during acute pancreatitis episodes, confirming the diagnosis.

Hospitalization records for acute pancreatitis episodes

Inpatient records documenting acute pancreatitis admissions, severity scoring (Ranson, BISAP), ICU stays, interventions, and length of stay.

Incapacitating episode frequency documentationCritical

Medical records or personal log documenting the annual frequency of acute episodes requiring hospitalization or bed rest — central to the pancreatitis rating formula.

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 Gallbladder and Pancreas ConditionsCritical

Standardized form capturing episode frequency, imaging findings, enzyme levels, complications, and functional limitations.

Service treatment records (STRs)Critical

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