Reasonable Hypothesis SOP [1] | 15 of 2016 as amended |
Balance of Probabilities SOP [1] | 16 of 2016 as amended |
SOP Bulletin 188 [2]
SOP bulletin 214 [3]
A diverticulum is an abnormal sac or pouch formed at a weak point in the wall of an organ such as the colon or bladder. This SOP covers diverticulae of the colon in the form of diverticulosis (without inflammation - whether symptomatic or not) and diverticulitis (with inflammation). Complications of colonic diverticular disease (diverticular bleeding, perforation of a diverticulum, diverticular abscess and diverticulitis complicated by fistula) are also covered by the SOP.
Asymptomatic disease requires colonoscopy, CT scan, or other imaging or visualisation to confirm the diagnosis. With symptomatic disease the symptoms are generally non-specific and again colonoscopy, CT scan, or other imaging or visualisation is required for confirmation and exclusion of other pathologies.
The relevant medical specialist is a gastroeterologist or general/colorectal surgeon.
# non-SOP condition
In most cases clinical onset will be at the time of diagnosis. Symptoms are generally non-specific and will typically not allow back-dating of onset to an earlier time.
The normal course of diverticulosis varies. It may remain asymptomatic or progress to episodes of bleeding or diverticulitis in around 25 percent of patients. Most people with uncomplicated diverticulitis respond to medical treatment, while approximately 15 percent of patients will need surgery. Clinical worsening could be evidenced by progression from diverticulosis to diverticulitis, or by the development of complications of diverticulitis (bleeding, abscess, perforation, fistula). Establishing whether there has been worsening beyond the normal course of the disease may require specialist opinion.
Place holder node for Rulebase for diverticular disease of the colon
Diverticular disease of the colon - Aggravation of diverticular disease of the colon by a specified drug Factor
Last reviewed for CCPS 20 August 2008.
Investigative Documents
Medical Report - Aggravation of Diverticular Disease of the Colon by a Specified Drug [MR9416] Preliminary questions [39939] 39941 — the veteran has established the causal connection between using a specified drug and VEA service for the clinical worsening of diverticular disease of the colon. 39942 — the veteran has established the causal connection between using a specified drug and operational service for the clinical worsening of diverticular disease of the colon. or 39943 — the veteran has established the causal connection between using a specified drug and eligible service for the clinical worsening of diverticular disease of the colon. Clinical worsening and operational service [39942] 39947 — the identified illness or injury, which materially contributed to the veteran's use of a drug specified as aggravating diverticular disease of the colon on more days than not for a continuous period of at least one month, is causally related to operational service. [10] [11] Clinical worsening and eligible service [39943] 39948 — the identified illness or injury, which materially contributed to the veteran's use of a drug specified as aggravating diverticular disease of the colon on more days than not for a continuous period of at least one month, is causally related to eligible service. [13] [11]
Diverticular disease of the colon - Inability to consume sufficient dietary fibre Factor
Last reviewed for CCPS 20 August 2008.
Investigative Documents
Claimant Report - Inability to Consume Sufficient Dietary Fibre - Diverticular Disease of the Colon [CR9248] Preliminary questions [7827]
7836 [17] the veteran was unable to consume an average daily intake of at least 30 grams of dietary fibre, or a cumulative total of 54,750 grams of dietary fibre, within the five years before the clinical onset of diverticular disease of the colon. 7837 — the veteran has established the causal connection between an inability to consume sufficient dietary fibre and operational service for the clinical onset of diverticular disease of the colon. Clinical onset and operational service [7837]
Diverticular disease of the colon - No appropriate clinical management for diverticular disease of the colon Factor
Last reviewed for CCPS 20 August 2008.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [7828] 11109 — the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7334 [22] 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 [23] 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. [27] [28] 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. [27] [28]
Diverticular disease of the colon - Scleroderma Factor
Last reviewed for CCPS 20 August 2008.
Preliminary questions [7826]
7610 [35] there is some evidence that scleroderma may be a factor in the development of the condition under consideration.
6563 [35] the veteran has had scleroderma at some time.
7829 [36] the veteran had scleroderma before the clinical onset of diverticular disease of the colon. [37]
7830 — the veteran has established the causal connection between the scleroderma and VEA service for diverticular disease of the colon.
7833 — the veteran has established the causal connection between the scleroderma and operational service for diverticular disease of the colon.
or
7834 — the veteran has established the causal connection between the scleroderma and eligible service for diverticular disease of the colon.
Clinical onset and operational service [7833]
6568 — the scleroderma is causally related to operational service. [38] [39]
Clinical onset and eligible service [7834]
6569 — the scleroderma is causally related to eligible service. [40] [39]
Links
[1] http://www.rma.gov.au/sops/condition/diverticular-disease-of-the-colon
[2] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20188.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20bulletin%20214_0.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/63486%23comment-form
[5] https://clik.dva.gov.au/ccpsmedical-240
[6] clikpopup://CCPS/reject39940No
[7] clikpopup://CCPS/Reject/OnsetAfterService
[8] clikpopup://CCPS/Reject/NoPermanentWorsening
[9] clikpopup://CCPS/reject39945No
[10] clikpopup://CCPS/reject39946No
[11] clikpopup://CCPS/reject39947,39948No
[12] clikpopup://CCPS/Onset of DD colon before op service to which identified illness, for which used drug that worsens DD colon for one month before that worsening, is related
[13] clikpopup://CCPS/reject39949No
[14] clikpopup://CCPS/Onset of DD colon before el service to which identified illness, for which used drug that worsens DD colon for one month before that worsening, is related
[15] clikpopup://CCPS/reject39950No
[16] https://clik.dva.gov.au/ccpsclaimant-184
[17] clikpopup://CCPS/Unable to consume sufficient dietary fibre before the clinical onset of DD colon
[18] clikpopup://CCPS/reject7836No
[19] clikpopup://CCPS/reject7841No
[20] clikpopup://CCPS/rejectwilful
[21] https://clik.dva.gov.au/ccpsother-31
[22] https://clik.dva.gov.au/node/72189
[23] clikpopup://CCPS/Diverticular disease of the colon/ACM - contributed to worsening
[24] clikpopup://CCPS/ACM/NoContribution
[25] clikpopup://CCPS/ACM/NotOpService
[26] clikpopup://CCPS/ACM/NotOperDuties
[27] clikpopup://CCPS/ACM/NoIllness
[28] clikpopup://CCPS/reject7390,7391No
[29] clikpopup://CCPS/Diverticular disease of the colon/ACM - onset prior to operational service
[30] clikpopup://CCPS/ACM/OnsetFailOper
[31] clikpopup://CCPS/ACM/NotEligService
[32] clikpopup://CCPS/ACM/NotEligDuties
[33] clikpopup://CCPS/Diverticular disease of the colon/ACM - onset prior to eligible service
[34] clikpopup://CCPS/ACM/OnsetFailElig
[35] https://clik.dva.gov.au/ccpsj002rc-4
[36] https://clik.dva.gov.au/7826-scleroderma
[37] https://clik.dva.gov.au/reasons-decision-239
[38] clikpopup://CCPS/reject6568No
[39] clikpopup://CCPS/reject6568,6569No
[40] clikpopup://CCPS/reject6569No