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14.01 - Peptic Ulcer Disease (non Operated)
| Assessment | Frequency of Exacerbation | Proven on X- Ray or Gastroscope |
| 0 - 5% | Less than 1 year | Never |
| 5 - 10% | 1 year | Once |
| 10 - 15% | 2 year | More than once on episodes at least 6 months apart |
| 15 - 20% | Over 2 year or continual complaints |
The following complications are included in the assessment and should have as a minimum:
- bleed 10%
- obstruction 15%
- perforation 15%
14.02 - Peptic Ulcer Disease (Operated)
Partial gastrectomy, vagotomy and/ or pyloroplasty for peptic ulcer:
- following surgical treatment 40%
(mandatory review in six months) - ultimate minimum 15%
The 15% minimum for post op patients would include the average complaints and expected accompaniments of changed physiological function. True complications warrant an increase in assessment. Complications to be considered in the assessment include:
- dumping syndrome
- bile reflux (gastritis)
- recurrent ulcer (anastomotic)
- post vagotomy diarrhea
- anemia = Iron, B12 deficiency
A maximum total assessment of 35% should very rarely if ever be exceeded.
The following should not be included in the assessment but be submitted for consequential rulings:
- intestinal obstruction secondary to adhesions
- hiatus hernia
- incisional hernia
- cancer of stomach after partial gastrectomy
14.03 - Hiatus Hernia Without Reflux
Nil Assessment.
14.04 - Gastroesophageal Reflux
Nil to 10%
Complications:
- Erosions Distal Esophagus (5 - 10%)
- Ulcerations (10 - 20%)
- Stricture Formation (15 - 30%)
14.05 - Incisional Hernia
Nil to 10%
14.06 - Loss of Spleen
Generally not a disability. Nil assessment appropriate in most cases.
14.07 - Colostomy, Ileostomy and Ilealconduit
Permanent colostomy or continent ileostomy
30% minimum
Permanent standard ileostomy
40% minimum
Permanent ilealconduit
30% minimum
14.08 - Functional Gastrointestinal Disorders
Nil to 10%
14.09 - Anorectal Conditions
Symptoms arising from multiple conditions in the anal region are similar whether the disease process is due to haemorrhoids, recurrent infection, bowel prolapse or neurological dysfunction. Assessments are based on the resulting impairment of function irrespective of the specific pensionable condition. Anal conditions shall be assessed in accordance with the Table to Article 14.09.
| Table to Article 14.09 | ||
| 1. | Minor hemorrhoidal tags and/ or mild pruritus. Pruritus, occasional bleeding, no overt prolapse. Nil to less than | 5% |
| 2. | Clinical evidence of internal haemorrhoids, pruritus, minimal skin changes, minor recurrent bleeding controlled by medication or diet. Minor post- operative complication controlled by medication or diet. | 5% |
| 3. | Intermittent prolapse, recurrent bleeding and/ or pruritus with evidence of mild excoriation or maceration of skin. Occasional soiling. | 5% to 10% |
| 4. | Cases in which there is evidence of continued continence, operative scarring, marked skin changes, will be judged on individual merit. | |