AMC1 MED.B.020 Digestive
system
ED Decision 2019/002/R
(a) Oesophageal varices
Applicants with oesophageal varices should be assessed as unfit.
(b) Pancreatitis
Applicants with pancreatitis should be assessed as unfit pending assessment. A fit assessment may be considered if the cause is removed.
(c) Gallstones
(1) Applicants with a single asymptomatic large gallstone discovered incidentally may be assessed as fit if not likely to cause incapacitation in flight.
(2) Applicants with asymptomatic multiple gallstones may be assessed as fit with an OML.
(d) Inflammatory bowel disease
Applicants with an established diagnosis or history of chronic inflammatory bowel disease should be assessed as fit if the inflammatory bowel disease is in established remission and stable and if systemic steroids are not required for its control.
(e) Peptic ulceration
Applicants with peptic ulceration should be assessed as unfit pending full recovery and demonstrated healing.
(f) Digestive tract and abdominal surgery
Applicants who have undergone a surgical operation for medical conditions of the digestive tract or its adnexa, including a total or partial excision or a diversion of any of these organs or herniae should be assessed as unfit. A fit assessment may be considered if recovery is complete, the applicant is asymptomatic, and there is only a minimal risk of secondary complication or recurrence.
(g) Liver disease
Applicants with morphological or functional liver disease, or after surgery, including liver transplantation, may be assessed as fit subject to satisfactory gastroenterological evaluation.
EASA aircrew medical regulations deem applicants unfit with esophageal varices, pancreatitis, or peptic ulceration. Stable inflammatory bowel disease and asymptomatic gallstones may allow fitness. Post digestive surgery or liver disease requires thorough evaluation for potential flight fitness, focusing on recovery and minimal risk.
* Summary by Aviation.Bot - Always consult the original document for the most accurate information.
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