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AMC4 MED.C.025 Content of aero-medical assessments

ED Decision 2019/002/R

DIGESTIVE SYSTEM

(a) Cabin crew members with any disease or sequelae of surgical intervention in any part of the digestive tract or its adnexa likely to cause incapacitation in flight, in particular any obstruction due to stricture or compression, should be assessed as unfit.

(b) Cabin crew members should be free from herniae that might give rise to incapacitating symptoms.

(c) Cabin crew members with disorders of the gastro-intestinal system, including:

(1) recurrent severe dyspeptic disorder requiring medication;

(2) peptic ulceration;

(3) pancreatitis;

(4) symptomatic gallstones;

(5) an established diagnosis or history of chronic inflammatory bowel disease;

(6) after surgical operation on the digestive tract or its adnexa, including surgery involving total or partial excision or a diversion of any of these organs;

(7) morphological or functional liver disease; or

(8) after surgery, including liver transplantation

may be assessed as fit subject to satisfactory gastroenterological evaluation.