History of pancreatic surgery

“Pancreas. History of: (1) Pancreatic insufficiency. (2) Acute pancreatitis, unless due to cholelithiasis successfully treated by cholecystectomy. (3) Chronic pancreatitis. (4) Pancreatic cyst or pseudocyst. (5) Pancreatic surgery.”

“Stomach and Duodenum. (1) Current dyspepsia, gastritis, or duodenitis despite medication (over the counter or prescription). (2) Current gastric or duodenal ulcers, including, but not limited to, peptic ulcers and gastrojejunal ulcers: (a) History of a treated ulcer within the last 3 months. (b) Recurrent or complicated by bleeding, obstruction, or perforation within the last 5 years. (3) History of surgery for peptic ulceration or perforated ulcer. (4) History of gastroparesis of greater than 6 weeks' duration, confirmed by scintigraphy or equivalent test. (5) History of bariatric surgery of any type (e.g., lap-band or gastric bypass surgery for weight loss). (6) History of gastric varices.”

“Abdominal Wall. (1) Current abdominal wall hernia other than small (less than 2 cm in size), asymptomatic inguinal or umbilical hernias. (2) History of open or laparoscopic abdominal surgery during the last 3 months. (3) The presence of any ostomy (gastrointestinal or urinary).”

“Small and Large Intestine. (1) History of inflammatory bowel disease, including, but not limited to, Crohn's disease, ulcerative colitis, ulcerative proctitis, or indeterminate colitis. (2) Current infectious colitis. (3) History of intestinal malabsorption syndromes, including, but not limited to, celiac sprue, pancreatic insufficiency, post-surgical, and idiopathic. (4) Dietary intolerances that may interfere with military duty or consuming military rations. Lactase deficiency does not meet the standard when it is of sufficient severity to require frequent intervention, or will interfere with military duties. (5) History of gastrointestinal functional or motility disorders including but not limited to volvulus within the last 24 months, or any history of pseudo-obstruction or megacolon. (6) Current chronic constipation, requiring prescription medication or medical interventions (e.g., pelvic floor physical therapy, biofeedback therapy). (7) History of diarrhea of greater than 6 weeks' duration, regardless of cause, persisting or symptomatic in the last 24 months. (8) History of gastrointestinal bleeding, including positive occult blood, if: (a) The cause is known but has not been corrected; or (b) The cause is unknown and bleeding has occurred within the last 12 months. (9) History of irritable bowel syndrome that has been symptomatic or medically managed within the previous 24 months. (10) History of symptomatic diverticular disease of the intestine. (11) Personal or family history of familial adenomatous polyposis syndrome or hereditary non-polyposis colon cancer (Lynch syndrome).”

“Esophageal Disease. (1) History of Gastro-Esophageal Reflux Disease, with complications, including, but not limited to: (a) Stricture. (b) Dysphagia. (c) Recurrent symptoms or esophagitis despite maintenance medication. (d) Barrett's esophagus. (e) Extraesophageal complications such as: reactive airway disease; recurrent sinusitis or dental complications; unresponsive to acid suppression. (2) History of surgical correction (e.g., fundoplication) for Gastro-Esophageal Reflux Disease within 6 months or with complications. (3) History of dysmotility disorders including, but not limited to, diffuse esophageal spasm, nutcracker esophagus, and achalasia. (4) History of eosinophilic esophagitis. (5) History of other esophageal strictures (e.g., from ingesting lye). (6) History of esophageal disease not specified above; including, but not limited to, neoplasia, ulceration, varices, or fistula.”