Gastro-oesophageal reflux disease - A surgical procedure to the region of the oesophageal hiatus of the diaphragm Factor

For this factor to apply, it is necessary that the surgical procedure involve the actual region of the oesophageal hiatus of the diaphragm.  Gastrectomy (a separate factor in gastro-oesophageal reflux disease (GORD)) or other surgery to the oesophagus or upper parts of the stomach would meet this criterion.  This may involve treatment for cancer, ulcers or GORD.  Nissen fundoplication (for GORD) would be a common example of a relevant surgical procedure.  An endoscopy is not surgery; it is an investigative procedure only.

Last reviewed for CCPS 18 July 2005.

Preliminary questions [6485]

33713 there is some evidence that a surgical procedure to the region of the oesophageal hiatus of the diaphragm may be a factor in the development or worsening of the condition under consideration.

33714 the veteran has undergone a surgical procedure to the region of the oesophageal hiatus of the diaphragm at some time.

32373  the veteran has established the causal connection between the surgical procedure to the region of the oesophageal hiatus of the diaphragm and VEA service for gastro-oesophageal reflux disease.

6554     the veteran has established the causal connection between the surgical procedure to the region of the oesophageal hiatus of the diaphragm and VEA service for the clinical onset of gastro-oesophageal reflux disease.

6555     the veteran has established the causal connection between the surgical procedure to the region of the oesophageal hiatus of the diaphragm and operational service for the clinical onset of gastro-oesophageal reflux disease.

or

6557     the veteran has established the causal connection between the surgical procedure to the region of the oesophageal hiatus of the diaphragm and eligible service for the clinical onset of gastro-oesophageal reflux disease.

or

7334     the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.

7335     the condition under consideration permanently worsened.

32375   the veteran has established the causal connection between the surgical procedure to the region of the oesophageal hiatus of the diaphragm and VEA service for the clinical worsening of gastro-oesophageal reflux disease.

32378  the veteran has established the causal connection between the surgical procedure to the region of the oesophageal hiatus of the diaphragm and eligible service for the clinical worsening of gastro-oesophageal reflux disease.

or

32377  the veteran has established the causal connection between the surgical procedure to the region of the oesophageal hiatus of the diaphragm and operational service for the clinical worsening of gastro-oesophageal reflux disease.

Clinical onset and operational service [6555]

32438 on operational service, the veteran underwent a surgical procedure to the region of the oesophageal hiatus of the diaphragm.

6561     on operational service, the veteran underwent a surgical procedure to the region of the oesophageal hiatus of the diaphragm within the three months before the clinical onset of the condition under consideration.

or

33715 the veteran underwent a surgical procedure to the region of the oesophageal hiatus of the diaphragm for treatment of an illness or injury which is identifiable.

25974 as a consequence of the identified illness or injury, the veteran underwent a surgical procedure to the region of the oesophageal hiatus of the diaphragm within the three months before the clinical onset of the condition under consideration.

33724  the identified illness or injury for which the veteran underwent a surgical procedure to the region of the oesophageal hiatus of the diaphragm is causally related to operational service.

Clinical onset and eligible service [6557]

33715 the veteran underwent a surgical procedure to the region of the oesophageal hiatus of the diaphragm for treatment of an illness or injury which is identifiable.

25975 as a consequence of the identified illness or injury, the veteran underwent a surgical procedure to the region of the oesophageal hiatus of the diaphragm within the four weeks before the clinical onset of the condition under consideration.

33725  the identified illness or injury for which the veteran underwent a surgical procedure to the region of the oesophageal hiatus of the diaphragm is causally related to eligible service.

Clinical worsening and operational service [32377]

34852 as a consequence of the identified illness or injury, the veteran underwent a surgical procedure to the region of the oesophageal hiatus of the diaphragm within the three months before the clinical worsening of the condition under consideration.

33724  the identified illness or injury for which the veteran underwent a surgical procedure to the region of the oesophageal hiatus of the diaphragm is causally related to operational service.

33727 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury for which the veteran underwent a surgical procedure to the region of the oesophageal hiatus of the diaphragm is causally related.

Clinical worsening and eligible service [32378]

34853 as a consequence of the identified illness or injury, the veteran underwent a surgical procedure to the region of the oesophageal hiatus of the diaphragm within the four weeks before the clinical worsening of the condition under consideration.

33725  the identified illness or injury for which the veteran underwent a surgical procedure to the region of the oesophageal hiatus of the diaphragm is causally related to eligible service.

33730 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury for which the veteran underwent a surgical procedure to the region of the oesophageal hiatus of the diaphragm is causally related.