Reasonable Hypothesis SOP [1] | 101 of 2021 |
Balance of Probabilities SOP [2] | 102 of 2021 |
SOP Bulletin 225 [3]
This SOP covers chronic gastritis (inflammation of the stomach lining) due to infection and chronic gastropathy (damage to the stomach lining with minimal or no inflammation) due to non-infectious causes.
The diagnosis needs to be confirmed by histology. This would normally be done from mucosal biopsy following endoscopy / gastroscopy. In addition, a diagnosis of chronic gastropathy requires the presence of symptoms, in the form of epigastric pain, nausea, bloating or burning for at least three months.
The relevant medical specialist is a gastroenterologist.
* another SOP applies
# non-SOP condition
Clinical onset will be at the time of diagnosis, or when symptoms, subsequently confirmed to be due to chronic gastritis or chronic gastropathy, developed. Onset should generally not be backdated to before the time that current, continuous symptoms developed. Any earlier gastric symptoms could have a variety of other causes.
Clinical worsening may be evidenced by worsening pathology, shown on repeat histology, or a deterioration in symptoms, provided that deterioration was not due to a sequela condition, such as ulceration.
The SOP has a factor, for chronic gastritis only, for having infection with Helicobacter pylori. An advisory note on relating Helicobacter pylori infection to military service is available - MILITARY SERVICE AND INFECTION WITH HELICOBACTER PYLORI [4]
Place holder node for Rulebase for chronic gastritis and chronic gastropathy
Chronic gastritis and chronic gastropathy - Helicobacter heilmannii infection of the stomach Factor
Last reviewed for CCPS 05 April 2002.
Investigative Documents
Medical Report - Helicobacter Heilmannii Infection [MR9274] Preliminary questions [31569]
31570 [7] the veteran has suffered from Helicobacter heilmannii infection of the stomach at some time. the veteran was suffering from Helicobacter heilmannii infection of the stomach before the diagnosis of the condition under consideration. 31572 — the veteran has established the causal connection between the Helicobacter heilmannii infection of the stomach and VEA service for the diagnosis of chronic gastritis. 31574 — the veteran has established the causal connection between the Helicobacter heilmannii infection of the stomach and operational service for the diagnosis of chronic gastritis. or 31575 — the veteran has established the causal connection between the Helicobacter heilmannii infection of the stomach and eligible service for the diagnosis of chronic gastritis. Clinical onset and operational service [31574] Clinical onset and eligible service [31575]
Chronic gastritis and chronic gastropathy - Helicobacter pylori infection of the stomach Factor
Last reviewed for CCPS 05 April 2002.
Investigative Documents
Medical Report - Helicobacter Pylori Infection [MR9226] Preliminary questions [29051] 29054 — the veteran has established the causal connection between the Helicobacter pylori infection of the stomach and VEA service for the diagnosis of chronic gastritis. 29055 — the veteran has established the causal connection between the Helicobacter pylori infection of the stomach and operational service for the diagnosis of chronic gastritis. or 29056 — the veteran has established the causal connection between the Helicobacter pylori infection of the stomach and eligible service for the diagnosis of chronic gastritis. Clinical onset and operational service [29055] Clinical onset and eligible service [29056]
Chronic gastritis and chronic gastropathy - Inability to obtain appropriate clinical management for chronic gastritis Factor
Last reviewed for CCPS 05 April 2002.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [29060] 11109 — the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7334 [18] 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 [21] 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. [26] [27] 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. [26] [27]
Links
[1] http://www.rma.gov.au/assets/SOP/2021/a409e964a9/101.pdf
[2] http://www.rma.gov.au/assets/SOP/2021/7c1f71c5e4/102.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20225.pdf
[4] http://auth-clik.dvastaff.dva.gov.au/compensation-and-support-reference-library/advisory-notes/1999/an06-military-service-and-infection-helicobacter-pylori
[5] https://clik.dva.gov.au/user/login?destination=comment/reply/63382%23comment-form
[6] https://clik.dva.gov.au/ccpsmedical-36
[7] clikpopup://CCPS/The veteran suffered Helicobacter heilmannii infection of the stomach at some time
[8] clikpopup://CCPS/reject31570No
[9] clikpopup://CCPS/reject31571No
[10] clikpopup://CCPS/reject31576No
[11] clikpopup://CCPS/reject31577No
[12] https://clik.dva.gov.au/ccpsmedical-175
[13] clikpopup://CCPS/reject29052No
[14] clikpopup://CCPS/reject29053No
[15] clikpopup://CCPS/reject29057No
[16] clikpopup://CCPS/reject29059No
[17] https://clik.dva.gov.au/ccpsother-31
[18] https://clik.dva.gov.au/node/72644
[19] clikpopup://CCPS/Reject/OnsetAfterService
[20] clikpopup://CCPS/Reject/NoPermanentWorsening
[21] clikpopup://CCPS/Chronic gastritis/ACM - contributed to worsening
[22] clikpopup://CCPS/ACM/NoContribution
[23] clikpopup://CCPS/ACM/NotOpService
[24] clikpopup://CCPS/ACM/NotOperDuties
[25] clikpopup://CCPS/rejectwilful
[26] clikpopup://CCPS/ACM/NoIllness
[27] clikpopup://CCPS/reject7390,7391No
[28] clikpopup://CCPS/Chronic gastritis/ACM - onset prior to operational service
[29] clikpopup://CCPS/ACM/OnsetFailOper
[30] clikpopup://CCPS/ACM/NotEligService
[31] clikpopup://CCPS/ACM/NotEligDuties
[32] clikpopup://CCPS/Chronic gastritis/ACM - onset prior to eligible service
[33] clikpopup://CCPS/ACM/OnsetFailElig