Date amended:
External
Repatriation Medical Authority Statement

Gastro-oesophageal reflux disease - Zollinger-Ellison syndrome Factor

Zollinger-Ellison syndrome is a rare and serious condition and a veteran or member would have needed significant medical attention.

RMA Definition

"a condition characterised by gastric hypersecretion of acid, ulceration of the upper gastro-intestinal mucosa and usually the presence of a gastrinoma or a diffuse hyperplasia of the gastrin secreting beta cells of the pancreas”.

Medical treatment for this condition would normally be recorded in doctors' notes and/or hospital records.  However, if these records cannot be obtained a reliable history of appropriate medical treatment and symptoms at a particular time will generally be accepted, unless there is contradictory evidence.  Seek medical advice if it is unclear whether the claimed symptoms and treatment at that time can be attributed to Zollinger-Ellison rather than to some other condition.

Last reviewed for CCPS 18 July 2005.

Preliminary questions [6487]

7611     there is some evidence that Zollinger-Ellison syndrome may be a factor in the development or worsening of the condition under consideration.

6579     the veteran has had Zollinger-Ellison syndrome at some time.

6570     the veteran has established the causal connection between the Zollinger-Ellison syndrome and VEA service for gastro-oesophageal reflux disease.

6580     the veteran had Zollinger-Ellison syndrome at the time of the clinical onset of the condition under consideration.

6571     the veteran has established the causal connection between the Zollinger-Ellison syndrome and VEA service for the clinical onset of gastro-oesophageal reflux disease.

6575     the veteran has established the causal connection between the Zollinger-Ellison syndrome and operational service for the clinical onset of gastro-oesophageal reflux disease.

or

6576     the veteran has established the causal connection between the Zollinger-Ellison syndrome 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.

6584     the veteran had Zollinger-Ellison syndrome at the time of the clinical worsening of the condition under consideration.

6574     the veteran has established the causal connection between the Zollinger-Ellison syndrome and VEA service for the clinical worsening of gastro-oesophageal reflux disease.

6577     the veteran has established the causal connection between the Zollinger-Ellison syndrome and operational service for the clinical worsening of gastro-oesophageal reflux disease.

or

6578     the veteran has established the causal connection between the Zollinger-Ellison syndrome and eligible service for the clinical worsening of gastro-oesophageal reflux disease.

Clinical onset and operational service [6575]

6581     the Zollinger-Ellison syndrome is causally related to operational service.

Clinical onset and eligible service [6576]

6583     the Zollinger-Ellison syndrome is causally related to eligible service.

Clinical worsening and operational service [6577]

6581     the Zollinger-Ellison syndrome is causally related to operational service.

<hotword "zzz 00903/06487/06585-0016">6585     the clinical onset of the condition under consideration occurred prior to that part of operational service to which the Zollinger-Ellison syndrome is causally related.

Clinical worsening and eligible service [6578]

6583     the Zollinger-Ellison syndrome is causally related to eligible service.

6587     the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the Zollinger-Ellison syndrome is causally related.