Gastric Ulcer and Duodenal Ulcer J004
RMA instruments
| Reasonable Hypothesis SOP [1] | 61 of 2015 |
| Balance of Probabilities SOP [1] | 62 of 2015 |
Changes from previous instruments
SOP Bulletin 183 [2]
ICD coding
- Gastric ulcer ICD-9 531; ICD-10 K25
- Duodenal ulcer ICD-9 532; ICD-10 K26
- Gastrojejunal ulcer ICD-10 K28
Brief description
This is an upper gastrointestinal pathology affecting the stomach or duodenum resulting in ulceration of the mucosal lining. If the size of the ‘ulceration’ is too small (less than 3 mm) or too shallow (not extending into the muscularis mucosa) it is called an erosion and is not covered by the SOP. The SOP covers both chronic “peptic” ulcer and acute ulcer.
Confirming the diagnosis:
Confirmation of diagnosis requires upper gastrointestinal endoscopy or, historically, via imaging with radiopaque contrast medium, i.e. barium swallow or meal. Histopathology is important to consider SOP exclusions.
It does not need to be symptomatic.
The relevant medical specialist is a gastroenterologist or general surgeon.
Additional diagnoses covered by these SOPs
- Acute duodenal ulcer
- Acute gastric ulcer
- Bleeding gastric or duodenal ulcer
- Chronic duodenal ulcer
- Chronic gastric ulcer
- Gastric or duodenal peptic ulcer
- Perforated gastric or duodenal ulcer
Conditions not covered by these SOPs
- Acute duodenitis#
- Acute gastritis#
- Chronic gastritis*
- Gastric or duodenal erosions#
- Gastro-oesophageal reflux disease*
- Inflammatory bowel disease* - Crohn’s disease
- Malignant neoplasm of the small intestine*
- Malignant neoplasm of the stomach*
- Sarcoidosis*
- Stomach or duodenal neoplastic ulcer*
- Uraemic gastritis#
* another SOP applies
# non-SOP condition
Clinical onset
Once the diagnosis has been confirmed, clinical onset may be able to be backdated based on upper GI symptoms. However, reported symptoms may be non-specific and due to other conditions, such as gastro-oesophageal reflux disease. Frank upper gastrointestinal bleeding with haematemesis or melaena would normally be due to a gastric or duodenal ulcer.
Clinical worsening
Treatment for ulcers has varied over time. Ulcers due to Helicobacter pylori infection can now be cured with drugs. Other ulcers can be effectively treated with drugs such as proton pump inhibitors (e.g. omeprazole). The presence of a complication in a previous ulcer (haemorrhage or perforation) or the need for surgery would be indicative of a clinical worsening.
Ulcers are also subject to regular surveillance to exclude the concomitant possibility of a gastric neoplasm.
Further comments on diagnosis
Most ulcers readily resolve with treatment. Ensure that a disease is present before applying the SOP. Note also that the RMA has declared that the isolated presence of Helicobacter pylori infection without inflammation or ulceration is not a disease or injury.
Comments on SOP factors
Note that there are several aetiological factors in this SOP that pertain to single episode triggering of ulcers, such as the drug factors (Non steroidal anti-inflammatory drugs, aspirin), specified list 1 and 2, infection, critical illness or injury, and contact with nasogastric tube.
Rulebase for gastric ulcer and duodenal ulcer
- Log in [3] to post comments
Place holder node for Rulebase for gastric ulcer and duodenal ulcer
A critical illness or injury
Gastric ulcer and duodenal ulcer - A critical illness or injury Factor
Last reviewed for CCPS 24 May 2007.
Investigative Documents
Medical Report - Critical Illness or Injury - Gastric Ulcer and Duodenal Ulcer [MR9371] Preliminary questions [37617]
37619 [5] the veteran has had a critical illness or injury at some time. 37620 — a critical illness or injury means any physical injury or illness requiring mechanical ventilation support or admission to an intensive care unit, or which causes septicaemia, adult respiratory distress syndrome, acute renal tubular necrosis, disseminated intravascular coagulation or multiple organ failure. 37621 — the veteran has established the causal connection between a critical illness or injury and VEA service for gastric ulcer or duodenal ulcer. 37622 — the veteran has established the causal connection between a critical illness or injury and VEA service for the clinical onset of gastric ulcer or duodenal ulcer. 37625 — the veteran has established the causal connection between a critical illness or injury and eligible service for the clinical onset of gastric ulcer or duodenal ulcer. or 37624 — the veteran has established the causal connection between a critical illness or injury and operational service for the clinical onset of gastric ulcer or duodenal ulcer. or 37623 — the veteran has established the causal connection between a critical illness or injury and VEA service for the clinical worsening of gastric ulcer or duodenal ulcer. 37627 — the veteran has established the causal connection between a critical illness or injury and eligible service for the clinical worsening of gastric ulcer or duodenal ulcer. or 37626 — the veteran has established the causal connection between a critical illness or injury and operational service for the clinical worsening of gastric ulcer or duodenal ulcer. Clinical onset and operational service [37624] 37632 — the identified illness or injury, a critical illness or injury, is causally related to operational service. [9] [10] Clinical onset and eligible service [37625] 37633 — the identified illness or injury, a critical illness or injury, is causally related to eligible service. [12] [10] Clinical worsening and operational service [37626] 37632 — the identified illness or injury, a critical illness or injury, is causally related to operational service. [14] [10] Clinical worsening and eligible service [37627] 37633 — the identified illness or injury, a critical illness or injury, is causally related to eligible service. [17] [10]
A gastrin-secreting tumour
Gastric ulcer and duodenal ulcer - A gastrin-secreting tumour Factor
Last reviewed for CCPS 24 May 2007.
Preliminary questions [37579]
37580 [20] there is some evidence that a gastrin-secreting tumour may be a factor in the development or worsening of the condition under consideration.
37581 [20] the veteran has had a gastrin-secreting tumour at some time. 37584 — the veteran has established the causal connection between a gastrin-secreting tumour and VEA service for gastric ulcer or duodenal ulcer. 37585 — the veteran has established the causal connection between a gastrin-secreting tumour and VEA service for the clinical onset of gastric ulcer or duodenal ulcer. 37587 — the veteran has established the causal connection between a gastrin-secreting tumour and operational service for the clinical onset of gastric ulcer or duodenal ulcer. or 37588 — the veteran has established the causal connection between a gastrin-secreting tumour and eligible service for the clinical onset of gastric ulcer or duodenal ulcer. or 37586 — the veteran has established the causal connection between a gastrin-secreting tumour and VEA service for the clinical worsening of gastric ulcer or duodenal ulcer. 37589 — the veteran has established the causal connection between a gastrin-secreting tumour and operational service for the clinical worsening of gastric ulcer or duodenal ulcer. or 37590 — the veteran has established the causal connection between a gastrin-secreting tumour and eligible service for the clinical worsening of gastric ulcer or duodenal ulcer. Clinical onset and operational service [37587] 37591 — the veteran's gastrin-secreting tumour is causally related to operational service. [23] [24] Clinical onset and eligible service [37588] 37592 — the veteran's gastrin-secreting tumour is causally related to eligible service. [25] [24] Clinical worsening and operational service [37589] 37591 — the veteran's gastrin-secreting tumour is causally related to operational service. [26] [24] Clinical worsening and eligible service [37590] 37592 — the veteran's gastrin-secreting tumour is causally related to eligible service. [28] [24]
A potassium chloride tablet or a bisphosphonate
Gastric ulcer and duodenal ulcer - A potassium chloride tablet or a bisphosphonate Factor
Last reviewed for CCPS 24 May 2007.
Investigative Documents
Medical Report - Drug Treatment - Gastric Ulcer and Duodenal Ulcer [MR9372] Preliminary questions [37661]
37663 [32] the veteran has been treated with a potassium chloride tablet or a bisphosphonate at some time. the veteran was treated with a potassium chloride tablet or a bisphosphonate for an illness or injury which is identifiable. 37665 — the veteran has established the causal connection between treatment with a potassium chloride tablet or a bisphosphonate and VEA service for gastric ulcer or duodenal ulcer. 37666 — the veteran has established the causal connection between treatment with a potassium chloride tablet or a bisphosphonate and VEA service for the clinical onset of gastric ulcer or duodenal ulcer. 37669 — the veteran has established the causal connection between treatment with a potassium chloride tablet or a bisphosphonate and eligible service for the clinical onset of gastric ulcer or duodenal ulcer. or 37668 — the veteran has established the causal connection between treatment with a potassium chloride tablet or a bisphosphonate and operational service for the clinical onset of gastric ulcer or duodenal ulcer. or 37667 — the veteran has established the causal connection between treatment with a potassium chloride tablet or a bisphosphonate and VEA service for the clinical worsening of gastric ulcer or duodenal ulcer. 37671 — the veteran has established the causal connection between treatment with a potassium chloride tablet or a bisphosphonate and eligible service for the clinical worsening of gastric ulcer or duodenal ulcer. or 37670 — the veteran has established the causal connection between treatment with a potassium chloride tablet or a bisphosphonate and operational service for the clinical worsening of gastric ulcer or duodenal ulcer. Clinical onset and operational service [37668] 37676 — the identified illness or injury, for which the veteran was treated with a potassium chloride tablet or a bisphosphonate, is causally related to operational service. [35] [36] Clinical onset and eligible service [37669] 37677 — the identified illness or injury, for which the veteran was treated with a potassium chloride tablet or a bisphosphonate, is causally related to eligible service. [38] [36] Clinical worsening and operational service [37670] 37676 — the identified illness or injury, for which the veteran was treated with a potassium chloride tablet or a bisphosphonate, is causally related to operational service. [40] [36] Clinical worsening and eligible service [37671] 37677 — the identified illness or injury, for which the veteran was treated with a potassium chloride tablet or a bisphosphonate, is causally related to eligible service. [43] [36]
Anticoagulant treatment
Gastric ulcer and duodenal ulcer - Anticoagulant treatment Factor
Last reviewed for CCPS 24 May 2007.
Investigative Documents
Medical Report - Drug Treatment - Gastric Ulcer and Duodenal Ulcer [MR9372] Preliminary questions [37648]
7334 [46] the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service. the condition under consideration permanently worsened. the veteran has been treated with an anticoagulant at some time. the veteran was treated with an anticoagulant for an illness or injury which is identifiable. 37652 — the veteran has established the causal connection between anticoagulant treatment and VEA service for the clinical worsening of gastric ulcer or duodenal ulcer. 37654 — the veteran has established the causal connection between anticoagulant treatment and eligible service for the clinical worsening of gastric ulcer or duodenal ulcer. or 37653 — the veteran has established the causal connection between anticoagulant treatment and operational service for the clinical worsening of gastric ulcer or duodenal ulcer. Clinical worsening and operational service [37653] 37659 — the identified illness or injury, for which the veteran was treated with an anticoagulant, is causally related to operational service. [49] [50] Clinical worsening and eligible service [37654] 37660 — the identified illness or injury, for which the veteran was treated with an anticoagulant, is causally related to eligible service. [53] [50]
Cigar smoking
Gastric ulcer and duodenal ulcer - Cigar smoking Factor
Last reviewed for CCPS 24 May 2007.
Investigative Documents
Claimant Report - Smoking [CRD905] [56] Claimant Report - Smoking [CRV905] Preliminary questions [37686]
4915 [58] the veteran has ever smoked cigars. 37687 — the veteran has established the causal connection between the cigar smoking and VEA service for gastric ulcer or duodenal ulcer. 37688 — the veteran has established the causal connection between the cigar smoking and VEA service for the clinical onset of gastric ulcer or duodenal ulcer. 37690 — the veteran has established the causal connection between the cigar smoking and operational service for the clinical onset of gastric ulcer or duodenal ulcer. or 37691 — the veteran has established the causal connection between the cigar smoking and eligible service for the clinical onset of gastric ulcer or duodenal ulcer. or 37689 — the veteran has established the causal connection between the cigar smoking and VEA service for the clinical worsening of gastric ulcer or duodenal ulcer. 37692 — the veteran has established the causal connection between the cigar smoking and operational service for the clinical worsening of gastric ulcer or duodenal ulcer. or 37693 — the veteran has established the causal connection between the cigar smoking and eligible service for the clinical worsening of gastric ulcer or duodenal ulcer. Clinical onset and operational service [37690] 37694 — the veteran has smoked at least one half of a pack year of cigars before the clinical onset of the condition under consideration and, where smoking has ceased, the clinical onset of the condition under consideration occurred within one year of cessation. [8] 4921 — the veteran has some period or periods of cigar smoking that are causally related to operational service. [61] Clinical onset and eligible service [37691] 37696 — the veteran has smoked at least one pack year of cigars before the clinical onset of the condition under consideration. [62] 4922 — the veteran has some period or periods of cigar smoking that are causally related to eligible service. [64] Clinical worsening and operational service [37692] 37695 — the veteran has smoked at least one half of a pack year of cigars before the clinical worsening of the condition under consideration and, where smoking has ceased, the clinical worsening of the condition under consideration occurred within one year of cessation. [65] 4921 — the veteran has some period or periods of cigar smoking that are causally related to operational service. [67] Clinical worsening and eligible service [37693] 37697 — the veteran has smoked at least one pack year of cigars before the clinical worsening of the condition under consideration. [69] 4922 — the veteran has some period or periods of cigar smoking that are causally related to eligible service. [71]
Cigarette smoking
Gastric ulcer and duodenal ulcer - Cigarette smoking Factor
Last reviewed for CCPS 24 May 2007.
Investigative Documents
Claimant Report - Smoking [CRD905] [56] Claimant Report - Smoking [CRV905] Preliminary questions [879] 4211 — the veteran has established the causal connection between the cigarette smoking and VEA service for gastric ulcer or duodenal ulcer. 6136 — the veteran has established the causal connection between the cigarette smoking and VEA service for the clinical onset of gastric ulcer or duodenal ulcer. 4036 — the veteran has established the causal connection between the cigarette smoking and operational service for the clinical onset of gastric ulcer or duodenal ulcer. or 4213 — the veteran has established the causal connection between the cigarette smoking and eligible service for the clinical onset of gastric ulcer or duodenal ulcer. or 6138 — the veteran has established the causal connection between the cigarette smoking and VEA service for the clinical worsening of gastric ulcer or duodenal ulcer. 5419 — the veteran has established the causal connection between the cigarette smoking and operational service for the clinical worsening of gastric ulcer or duodenal ulcer. or 5420 — the veteran has established the causal connection between the cigarette smoking and eligible service for the clinical worsening of gastric ulcer or duodenal ulcer. Clinical onset and operational service [4036] 886 — the veteran has smoked at least one half of a pack year of cigarettes before the clinical onset of the condition under consideration and, where smoking has ceased, the clinical onset of the condition under consideration occurred within one year of cessation. [8] 3116 — the veteran has some period or periods of cigarette smoking that are causally related to operational service. [77] Clinical onset and eligible service [4213] 37680 — the veteran has smoked at least one pack year of cigarettes before the clinical onset of the condition under consideration. [78] 3521 — the veteran has some period or periods of cigarette smoking that are causally related to eligible service. [80] Clinical worsening and operational service [5419] 5417 — the veteran has smoked at least one half of a pack year of cigarettes before the clinical worsening of the condition under consideration and, where smoking has ceased, the clinical worsening of the condition under consideration occurred within one year of cessation. [81] 3116 — the veteran has some period or periods of cigarette smoking that are causally related to operational service. [83] Clinical worsening and eligible service [5420] 37681 — the veteran has smoked at least one pack year of cigarettes before the clinical worsening of the condition under consideration. [85] 3521 — the veteran has some period or periods of cigarette smoking that are causally related to eligible service. [87]
Contact with a nasogastric tube or other foreign body
Gastric ulcer and duodenal ulcer - Contact with a nasogastric tube or other foreign body Factor
Last reviewed for CCPS 24 May 2007.
Investigative Documents
Medical Report - Nasogastric Tube - Gastric Ulcer and Duodenal Ulcer [MR9370] Preliminary questions [37605]
37610 [91] the veteran has had contact with a nasogastric tube or other foreign body at some time. the veteran had contact with a nasogastric tube or other foreign body at the site of the gastric or duodenal ulcer. the veteran had contact with a nasogastric tube or other foreign body at the site of the gastric or duodenal ulcer as a consequence of an illness or injury which is identifiable. 37607 — the veteran has established the causal connection between contact with a nasogastric tube or other foreign body and operational service for gastric ulcer or duodenal ulcer. 37608 — the veteran has established the causal connection between contact with a nasogastric tube or other foreign body and operational service for the clinical onset of gastric ulcer or duodenal ulcer. or 37609 — the veteran has established the causal connection between contact with a nasogastric tube or other foreign body and operational service for the clinical worsening of gastric ulcer or duodenal ulcer. Clinical onset and operational service [37608] 37614 — the identified illness or injury, as a consequence of which the veteran had contact with a nasogastric tube or other foreign body at the site of the gastric or duodenal ulcer, is causally related to operational service. [96] Clinical worsening and operational service [37609] 37614 — the identified illness or injury, as a consequence of which the veteran had contact with a nasogastric tube or other foreign body at the site of the gastric or duodenal ulcer, is causally related to operational service. [97]
Having been a prisoner of war
Gastric ulcer and duodenal ulcer - Having been a prisoner of war Factor
Last reviewed for CCPS 24 May 2007.
Preliminary questions [11088]
30131 [100] there is some evidence that having been a prisoner of war may be a factor in the development or worsening of the condition under consideration.
292 [100] the veteran was a prisoner of war at some time. 27009 — the veteran has established the causal connection between being a prisoner of war and operational service for the condition under consideration. Clinical onset and operational service [27009] or Clinical worsening and operational service [27009] or
Immunosuppressive therapy for an organ transplantation
Gastric ulcer and duodenal ulcer - Immunosuppressive therapy for an organ transplantation Factor
Last reviewed for CCPS 24 May 2007.
Preliminary questions [37595]
37596 [104] there is some evidence that immunosuppressive therapy for an organ transplantation may be a factor in the development or worsening of the condition under consideration.
2365 [105] the veteran has had an organ transplantation at some time. 37597 — the organ transplantation required the veteran to receive immunosuppressive therapy. 37598 — the organ transplantation requiring the veteran to receive immunosuppressive therapy was for treatment of an illness or injury which is identifiable. 37601 — the veteran has established the causal connection between immunosuppressive therapy for an organ transplantation and operational service for gastric ulcer or duodenal ulcer. 37602 — the veteran has established the causal connection between immunosuppressive therapy for an organ transplantation and operational service for the clinical onset of gastric ulcer or duodenal ulcer. or 37603 — the veteran has established the causal connection between immunosuppressive therapy for an organ transplantation and operational service for the clinical worsening of gastric ulcer or duodenal ulcer. Clinical onset and operational service [37602] 2371 — the identified illness or injury for which the organ transplant was given is causally related to operational service. [108] Clinical worsening and operational service [37603] 2371 — the identified illness or injury for which the organ transplant was given is causally related to operational service. [109]
Inability to obtain appropriate clinical management for peptic ulcer disease
Gastric ulcer and duodenal ulcer - Inability to obtain appropriate clinical management for peptic ulcer disease Factor
Last reviewed for CCPS 24 May 2007.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [5450] 11109 — the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7334 [46] the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service. the condition under consideration permanently worsened. the veteran was unable to obtain appropriate clinical management for the condition under consideration at some time.
7379 [113] the inability to obtain appropriate clinical management for the condition under consideration contributed to the clinical worsening of the condition under consideration. 11234 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and VEA service for the clinical worsening of the condition under consideration. 11235 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and operational service for the clinical worsening of the condition under consideration. or 11236 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and eligible service for the clinical worsening of the condition under consideration. Clinical worsening and operational service [11235] or 7390 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to operational service. [118] [119] Clinical worsening and eligible service [11236] or 7391 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to eligible service. [118] [119]
Infection with Helicobacter pylori
Gastric ulcer and duodenal ulcer - Infection with Helicobacter pylori Factor
Last reviewed for CCPS 24 May 2007.
Investigative Documents
Medical Report - Helicobacter Pylori Infection [MR9226] Preliminary questions [6166] 37570 — the veteran has established the causal connection between the infection with Helicobacter pylori and VEA service for gastric ulcer or duodenal ulcer. 6169 — the veteran has established the causal connection between the infection with Helicobacter pylori and VEA service for the clinical onset of gastric ulcer or duodenal ulcer. 6171 — the veteran has established the causal connection between the infection with Helicobacter pylori and operational service for the clinical onset of gastric ulcer or duodenal ulcer. or 6172 — the veteran has established the causal connection between the infection with Helicobacter pylori and eligible service for the clinical onset of gastric ulcer or duodenal ulcer. or 37569 — the veteran has established the causal connection between the infection with Helicobacter pylori and VEA service for the clinical worsening of gastric ulcer or duodenal ulcer. 37571 — the veteran has established the causal connection between the infection with Helicobacter pylori and operational service for the clinical worsening of gastric ulcer or duodenal ulcer. or 37572 — the veteran has established the causal connection between the infection with Helicobacter pylori and eligible service for the clinical worsening of gastric ulcer or duodenal ulcer. Clinical onset and operational service [6171] Clinical onset and eligible service [6172] Clinical worsening and operational service [37571] Clinical worsening and eligible service [37572]
Non-topical non-inhaled corticosteroids
Gastric ulcer and duodenal ulcer - Non-topical non-inhaled corticosteroids Factor
Last reviewed for CCPS 24 May 2007.
Investigative Documents
Medical Report - Non-topical, Non-inhaled Corticosteroids - Gastric Ulcer and Duodenal Ulcer [MR9373] Preliminary questions [37637]
37642 [135] the veteran was treated with non-topical non-inhaled corticosteroids, at a dose equivalent to at least 10 milligrams per day of prednisolone, for a continuous period of at least two weeks at some time. the veteran was treated with non-topical non-inhaled corticosteroids, at a dose equivalent to at least 10 milligrams per day of prednisolone, for a continuous period of at least two weeks for an illness or injury which is identifiable. 37639 — the veteran has established the causal connection between treatment with non-topical non-inhaled corticosteroids and operational service for gastric ulcer or duodenal ulcer. 37640 — the veteran has established the causal connection between treatment with non-topical non-inhaled corticosteroids and operational service for the clinical onset of gastric ulcer or duodenal ulcer. or 37641 — the veteran has established the causal connection between treatment with non-topical non-inhaled corticosteroids and operational service for the clinical worsening of gastric ulcer or duodenal ulcer. Clinical onset and operational service [37640] 37646 — the identified illness or injury, for which the veteran was treated with non-topical non-inhaled corticosteroids, at a dose equivalent to at least 10 milligrams per day of prednisolone, for a continuous period of at least two weeks, is causally related to operational service. [139] Clinical worsening and operational service [37641] 37646 — the identified illness or injury, for which the veteran was treated with non-topical non-inhaled corticosteroids, at a dose equivalent to at least 10 milligrams per day of prednisolone, for a continuous period of at least two weeks, is causally related to operational service. [140]
Non-topical non-steroidal anti-inflammatory drug
Gastric ulcer and duodenal ulcer - Non-topical non-steroidal anti-inflammatory drug Factor
Last reviewed for CCPS 24 May 2007.
Investigative Documents
Claimant Report - Non-Topical Non-Steroidal Anti-Inflammatory Drugs - Gastric Ulcer and Duodenal Ulcer [CR9146] [143] Medical Report - Treatment with Non-Topical NSAIDs - Gastric Ulcer and Duodenal Ulcer [MR9196] Preliminary questions [1462]
1475 [145] the veteran was treated with a non-topical non-steroidal anti-inflammatory drug at least every other day during a continuous period of at least two weeks within the two months before the clinical onset or worsening of the condition under consideration. the veteran's treatment with a non-topical non-steroidal anti-inflammatory drug at least every other day during a continuous period of at least two weeks was materially contributed to by treatment of an injury or illness which is identifiable. 1478 — the veteran has established the causal connection between the treatment with non-topical non-steroidal anti-inflammatory drugs and VEA service for gastric ulcer or duodenal ulcer. 1479 — the veteran has established the causal connection between the treatment with non-topical non-steroidal anti-inflammatory drugs and VEA service for the clinical onset of gastric ulcer or duodenal ulcer. 6185 — the veteran has established the causal connection between the treatment with non-topical non-steroidal anti-inflammatory drugs and eligible service for the clinical onset of gastric ulcer or duodenal ulcer. or 6184 — the veteran has established the causal connection between the treatment with non-topical non-steroidal anti-inflammatory drugs and operational service for the clinical onset of gastric ulcer or duodenal ulcer. or 4218 — the veteran has established the causal connection between the treatment with non-topical non-steroidal anti-inflammatory drugs and VEA service for the clinical worsening of gastric ulcer or duodenal ulcer. 6187 — the veteran has established the causal connection between the treatment with non-topical non-steroidal anti-inflammatory drugs and eligible service for the clinical worsening of gastric ulcer or duodenal ulcer. or 6186 — the veteran has established the causal connection between the treatment with non-topical non-steroidal anti-inflammatory drugs and operational service for the clinical worsening of gastric ulcer or duodenal ulcer. Clinical onset and operational service [6184] 1480 — the identified illness or injury, which materially contributed to the veteran's treatment with non-topical non-steroidal anti-inflammatory drugs, is causally related to operational service. [148] [149] Clinical onset and eligible service [6185] 4219 — the identified illness or injury, which materially contributed to the veteran's treatment with non-topical non-steroidal anti-inflammatory drugs, is causally related to eligible service. [152] [149] Clinical worsening and operational service [6186] 1480 — the identified illness or injury, which materially contributed to the veteran's treatment with non-topical non-steroidal anti-inflammatory drugs, is causally related to operational service. [154] [149] Clinical worsening and eligible service [6187] 4219 — the identified illness or injury, which materially contributed to the veteran's treatment with non-topical non-steroidal anti-inflammatory drugs, is causally related to eligible service. [157] [149]
Pipe smoking
Gastric ulcer and duodenal ulcer - Pipe smoking Factor
Last reviewed for CCPS 24 May 2007.
Investigative Documents
Claimant Report - Smoking [CRD905] [56] Claimant Report - Smoking [CRV905] Preliminary questions [37702]
4880 [161] the veteran has ever smoked pipe tobacco. 37703 — the veteran has established the causal connection between the pipe smoking and VEA service for gastric ulcer or duodenal ulcer. 37704 — the veteran has established the causal connection between the pipe smoking and VEA service for the clinical onset of gastric ulcer or duodenal ulcer. 37706 — the veteran has established the causal connection between the pipe smoking and operational service for the clinical onset of gastric ulcer or duodenal ulcer. or 37707 — the veteran has established the causal connection between the pipe smoking and eligible service for the clinical onset of gastric ulcer or duodenal ulcer. or 37705 — the veteran has established the causal connection between the pipe smoking and VEA service for the clinical worsening of gastric ulcer or duodenal ulcer. 37708 — the veteran has established the causal connection between the pipe smoking and operational service for the clinical worsening of gastric ulcer or duodenal ulcer. or 37709 — the veteran has established the causal connection between the pipe smoking and eligible service for the clinical worsening of gastric ulcer or duodenal ulcer. Clinical onset and operational service [37706] 37710 — the veteran has smoked at least one half of a pack year of pipe tobacco before the clinical onset of the condition under consideration and, where smoking has ceased, the clinical onset of the condition under consideration occurred within one year of cessation. [8] 4911 — the veteran has some period or periods of pipe smoking that are causally related to operational service. [164] Clinical onset and eligible service [37707] 37712 — the veteran has smoked at least one pack year of pipe tobacco before the clinical onset of the condition under consideration. [165] 4913 — the veteran has some period or periods of pipe smoking that are causally related to eligible service. [167] Clinical worsening and operational service [37708] 37711 — the veteran has smoked at least one half of a pack year of pipe tobacco before the clinical worsening of the condition under consideration and, where smoking has ceased, the clinical worsening of the condition under consideration occurred within one year of cessation. [168] 4911 — the veteran has some period or periods of pipe smoking that are causally related to operational service. [170] Clinical worsening and eligible service [37709] 37713 — the veteran has smoked at least one pack year of pipe tobacco before the clinical worsening of the condition under consideration. [172] 4913 — the veteran has some period or periods of pipe smoking that are causally related to eligible service. [174]
Tobacco products - material contribution
Gastric ulcer and duodenal ulcer - Tobacco products - material contribution Factor
Last reviewed for CCPS 24 May 2007.
Investigative Documents
Claimant Report - Smoking [CRD905] [56] Claimant Report - Smoking [CRV905] Preliminary questions [34202] 34203 — the veteran has established the causal connection between smoking tobacco products and VEA service for gastric ulcer or duodenal ulcer. 34204 — the veteran has established the causal connection between smoking tobacco products and VEA service for the clinical onset of gastric ulcer or duodenal ulcer. 34206 — the veteran has established the causal connection between smoking tobacco products and operational service for the clinical onset of gastric ulcer or duodenal ulcer. or 34207 — the veteran has established the causal connection between smoking tobacco products and eligible service for the clinical onset of gastric ulcer or duodenal ulcer. or 34205 — the veteran has established the causal connection between smoking tobacco products and VEA service for the clinical worsening of gastric ulcer or duodenal ulcer. 34208 — the veteran has established the causal connection between smoking tobacco products and operational service for the clinical worsening of gastric ulcer or duodenal ulcer. or 34209 — the veteran has established the causal connection between smoking tobacco products and eligible service for the clinical worsening of gastric ulcer or duodenal ulcer. Clinical onset and operational service [34206] Clinical onset and eligible service [34207] Clinical worsening and operational service [34208] Clinical worsening and eligible service [34209]
Links
[1] http://www.rma.gov.au/sops/condition/gastric-ulcer-and-duodenal-ulcer
[2] https://clik.dva.gov.au/system/files/media/Bull183_1.pdf
[3] https://clik.dva.gov.au/user/login?destination=comment/reply/63547%23comment-form
[4] https://clik.dva.gov.au/ccpsmedical-97
[5] https://clik.dva.gov.au/ccpsj004rc-13
[6] clikpopup://CCPS/reject37619No
[7] clikpopup://CCPS/Reject/OnsetAfterService
[8] clikpopup://CCPS/Reject/NoPermanentWorsening
[9] clikpopup://CCPS/reject37628No
[10] clikpopup://CCPS/reject37632,37633No
[11] clikpopup://CCPS/Critical illness or injury in 7 days before onset of GUDU
[12] clikpopup://CCPS/reject37629No
[13] clikpopup://CCPS/Critical illness or injury in 14 days before worsening of GUDU
[14] clikpopup://CCPS/reject37630No
[15] clikpopup://CCPS/Onset of GUDU before El service to which critical illness or injury related
[16] clikpopup://CCPS/reject37634No
[17] clikpopup://CCPS/reject37631No
[18] clikpopup://CCPS/Onset of GUDU before Op service to which critical illness or injury related
[19] clikpopup://CCPS/reject37635No
[20] https://clik.dva.gov.au/ccpsj004rc-4
[21] clikpopup://CCPS/reject37581No
[22] clikpopup://CCPS/reject37582No
[23] clikpopup://CCPS/reject37583No
[24] clikpopup://CCPS/reject37591,37592No
[25] clikpopup://CCPS/reject37592No
[26] clikpopup://CCPS/reject37591No
[27] clikpopup://CCPS/Onset of GUDU before Op service to which gastrin-secreting tumour related
[28] clikpopup://CCPS/reject37593No
[29] clikpopup://CCPS/Onset of GUDU before El service to which gastrin-secreting tumour related
[30] clikpopup://CCPS/reject37594No
[31] https://clik.dva.gov.au/ccpsmedical-165
[32] https://clik.dva.gov.au/ccpsj004rc-11
[33] clikpopup://CCPS/reject37663No
[34] clikpopup://CCPS/reject37664No
[35] clikpopup://CCPS/reject37672No
[36] clikpopup://CCPS/reject37676,37677No
[37] clikpopup://CCPS/Treated with potassium chloride tablet or bisphosphonate for identified illness or injury at onset of GUDU
[38] clikpopup://CCPS/reject37673No
[39] clikpopup://CCPS/Treated with potassium chloride tablet or bisphosphonate for identified illness or injury in 7 days before worsening of GUDU
[40] clikpopup://CCPS/reject37674No
[41] clikpopup://CCPS/Onset of GUDU before El service to which illness or injury treated with potassium chloride tablet or bisphosphonate is related
[42] clikpopup://CCPS/reject37678No
[43] clikpopup://CCPS/reject37675No
[44] clikpopup://CCPS/Onset of GUDU before Op service to which illness or injury treated with potassium chloride tablet or bisphosphonate is related
[45] clikpopup://CCPS/reject37679No
[46] https://clik.dva.gov.au/node/72322
[47] clikpopup://CCPS/reject37650No
[48] clikpopup://CCPS/reject37651No
[49] clikpopup://CCPS/reject37655No
[50] clikpopup://CCPS/reject37659,37660No
[51] clikpopup://CCPS/Onset of GUDU before Op service to which illness or injury having anticoagulant treatment is related
[52] clikpopup://CCPS/reject37657No
[53] clikpopup://CCPS/reject37656No
[54] clikpopup://CCPS/Onset of GUDU before El service to which illness or injury having anticoagulant treatment is related
[55] clikpopup://CCPS/reject37658No
[56] https://clik.dva.gov.au/ccpsclaimant-115
[57] clikpopup://CCPS/Cigar smoking
[58] clikpopup://CCPS/Ever smoked cigars
[59] clikpopup://CCPS/reject4915No
[60] clikpopup://CCPS/Cigar smoking commenced 6 months before onset of GUDU
[61] clikpopup://CCPS/reject37698No
[62] clikpopup://CCPS/reject37696No
[63] clikpopup://CCPS/Cigar smoking commenced 1 year before onset of GUDU and onset within 6 months of cessation
[64] clikpopup://CCPS/reject37699No
[65] clikpopup://CCPS/reject37695No
[66] clikpopup://CCPS/Cigar smoking commenced 6 months before worsening of GUDU
[67] clikpopup://CCPS/reject37700No
[68] clikpopup://CCPS/Onset of GUDU before Op service to which cigar smoking related
[69] clikpopup://CCPS/reject9196No
[70] clikpopup://CCPS/Cigar smoking commenced 1 year before worsening of GUDU and worsening within 6 months of cessation
[71] clikpopup://CCPS/reject37701No
[72] clikpopup://CCPS/Onset of GUDU before El service to which cigar smoking related
[73] clikpopup://CCPS/reject9197No
[74] clikpopup://CCPS/Cigarette smoking
[75] clikpopup://CCPS/reject5803No
[76] clikpopup://CCPS/Cigarette smoking commenced 6 months before onset of GUDU
[77] clikpopup://CCPS/reject37682No
[78] clikpopup://CCPS/reject37680No
[79] clikpopup://CCPS/Cigarette smoking commenced 1 year before onset of GUDU and onset within 6 months of cessation
[80] clikpopup://CCPS/reject37683No
[81] clikpopup://CCPS/reject5417No
[82] clikpopup://CCPS/Cigarette smoking commenced 6 months before worsening of GUDU
[83] clikpopup://CCPS/reject37684No
[84] clikpopup://CCPS/Onset of GUDU before Op service to which cigarette smoking related
[85] clikpopup://CCPS/reject9188No
[86] clikpopup://CCPS/Cigarette smoking commenced 1 year before worsening of GUDU and worsening within 6 months of cessation
[87] clikpopup://CCPS/reject37685No
[88] clikpopup://CCPS/Onset of GUDU before El service to which cigarette smoking related
[89] clikpopup://CCPS/reject9189No
[90] https://clik.dva.gov.au/ccpsmedical-33
[91] https://clik.dva.gov.au/ccpsj004rc-7
[92] clikpopup://CCPS/reject37610No
[93] clikpopup://CCPS/reject37611No
[94] clikpopup://CCPS/reject37612No
[95] clikpopup://CCPS/reject37613No
[96] clikpopup://CCPS/reject37616No
[97] clikpopup://CCPS/reject37614No
[98] clikpopup://CCPS/Onset of GUDU before Op service to which nasogastric tube contact due to illness related
[99] clikpopup://CCPS/reject37615No
[100] https://clik.dva.gov.au/ccpsj004rc-2
[101] https://clik.dva.gov.au/reasons-decision-244
[102] clikpopup://CCPS/reject27307No
[103] clikpopup://CCPS/reject27308No
[104] https://clik.dva.gov.au/ccpsj004rc-0
[105] https://clik.dva.gov.au/ccpsc002rc-6
[106] clikpopup://CCPS/reject2365No
[107] clikpopup://CCPS/reject37599No
[108] clikpopup://CCPS/reject37600No
[109] clikpopup://CCPS/reject2371No
[110] clikpopup://CCPS/Onset of GUDU before Op service to which transplant requiring immunosuppressive therapy related
[111] clikpopup://CCPS/reject37604No
[112] https://clik.dva.gov.au/ccpsother-31
[113] clikpopup://CCPS/GUDU/ACM - contributed to worsening
[114] clikpopup://CCPS/ACM/NoContribution
[115] clikpopup://CCPS/ACM/NotOpService
[116] clikpopup://CCPS/ACM/NotOperDuties
[117] clikpopup://CCPS/rejectwilful
[118] clikpopup://CCPS/ACM/NoIllness
[119] clikpopup://CCPS/reject7390,7391No
[120] clikpopup://CCPS/GUDU/ACM %C2%96 onset prior to operational service
[121] clikpopup://CCPS/ACM/OnsetFailOper
[122] clikpopup://CCPS/ACM/NotEligService
[123] clikpopup://CCPS/ACM/NotEligDuties
[124] clikpopup://CCPS/GUDU/ACM %C2%96 onset prior to eligible service
[125] clikpopup://CCPS/ACM/OnsetFailElig
[126] https://clik.dva.gov.au/ccpsmedical-175
[127] clikpopup://CCPS/reject37574No
[128] clikpopup://CCPS/reject27309No
[129] clikpopup://CCPS/reject37573No
[130] clikpopup://CCPS/reject6176No
[131] clikpopup://CCPS/reject6175No
[132] clikpopup://CCPS/reject37575No
[133] clikpopup://CCPS/reject37576No
[134] https://clik.dva.gov.au/ccpsmedical-53
[135] clikpopup://CCPS/Treated with corticosteroids as defined for 2 weeks
[136] clikpopup://CCPS/reject37642No
[137] clikpopup://CCPS/reject37643No
[138] clikpopup://CCPS/reject37644No
[139] clikpopup://CCPS/reject37645No
[140] clikpopup://CCPS/reject37646No
[141] clikpopup://CCPS/Onset of GUDU before Op service to which identified illness or injury treated with corticosteroids as defined for 2 weeks is related
[142] clikpopup://CCPS/reject37647No
[143] https://clik.dva.gov.au/ccpsclaimant-84
[144] https://clik.dva.gov.au/ccpsj004rc-3
[145] clikpopup://CCPS/Non-topical NSAIDs every other day for 2 weeks at some time
[146] clikpopup://CCPS/reject1475No
[147] clikpopup://CCPS/reject27317No
[148] clikpopup://CCPS/reject27316No
[149] clikpopup://CCPS/reject1480,4219No
[150] clikpopup://CCPS/Identified illness contributed to non-topical NSAIDs every other day for 4 weeks
[151] clikpopup://CCPS/reject37636No
[152] clikpopup://CCPS/reject5398No
[153] clikpopup://CCPS/Identified illness contributed to non-topical NSAIDs every other day for 2 weeks in 2 months before worsening of GUDU
[154] clikpopup://CCPS/reject5427No
[155] clikpopup://CCPS/Onset of GUDU prior to Op service to which identified illness treated with non-topical NSAIDs is related
[156] clikpopup://CCPS/reject6203No
[157] clikpopup://CCPS/reject5428No
[158] clikpopup://CCPS/Onset of GUDU prior to El service to which identified illness treated with non-topical NSAIDs is related
[159] clikpopup://CCPS/reject6204No
[160] clikpopup://CCPS/Pipe smoking
[161] clikpopup://CCPS/Ever smoked pipe tobacco
[162] clikpopup://CCPS/reject4880No
[163] clikpopup://CCPS/Pipe smoking commenced 6 months before onset of GUDU
[164] clikpopup://CCPS/reject37714No
[165] clikpopup://CCPS/reject37712No
[166] clikpopup://CCPS/Pipe smoking commenced 1 year before onset of GUDU and onset within 6 months of cessation
[167] clikpopup://CCPS/reject37715No
[168] clikpopup://CCPS/reject37711No
[169] clikpopup://CCPS/Pipe smoking commenced 6 months before worsening of GUDU
[170] clikpopup://CCPS/reject37716No
[171] clikpopup://CCPS/Onset of GUDU before Op service to which pipe smoking related
[172] clikpopup://CCPS/reject9204No
[173] clikpopup://CCPS/Pipe smoking commenced 1 year before worsening of GUDU and worsening within 6 months of cessation
[174] clikpopup://CCPS/reject37717No
[175] clikpopup://CCPS/Onset of GUDU before El service to which pipe smoking related
[176] clikpopup://CCPS/reject9205No
[177] clikpopup://CCPS/Smoked cigarettes, pipe tobacco or cigars at some time
[178] clikpopup://CCPS/reject30303No
[179] clikpopup://CCPS/reject34210No
[180] clikpopup://CCPS/reject37720No
[181] clikpopup://CCPS/reject34212No
[182] clikpopup://CCPS/reject37718No
[183] clikpopup://CCPS/reject37722No
[184] clikpopup://CCPS/reject34213No
[185] clikpopup://CCPS/reject34211No
[186] clikpopup://CCPS/reject37721No
[187] clikpopup://CCPS/reject34214No
[188] clikpopup://CCPS/reject33454No
[189] clikpopup://CCPS/reject37719No
[190] clikpopup://CCPS/reject37723No
[191] clikpopup://CCPS/reject34215No
[192] clikpopup://CCPS/reject33459No