AMC2 MED.B.020 Digestive system

• ED Decision 2019/002/R found in: Aircrew (1178/2011) Part-FCL Part-MED Part-CC Part-ARA Part-ORA Part-DTO (Aug 2023)

AMC2 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 satisfactory recovery. (c) Gallstones (1) Applicants with a single asymptomatic large gallstone or asymptomatic multiple gallstones may be assessed as fit. (2) Applicants with symptomatic single or multiple gallstones should be assessed as unfit. A fit assessment may be considered following gallstone removal. (d) Inflammatory bowel disease Applicants with an established diagnosis or history of chronic inflammatory bowel disease may be assessed as fit provided that the disease is stable and not likely to interfere with the safe exercise of the privileges of the applicable licence(s). (e) Peptic ulceration Applicants with peptic ulceration should be assessed as unfit pending full recovery. (f) Digestive tract and abdominal surgery Applicants who have undergone a surgical operation: (1) for herniae; or (2) on the digestive tract or its adnexa, including a total or partial excision or diversion of any of these organs 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. AMC2 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 satisfactory recovery. (c)      Gallstones (1)     Applicants with a single asymptomatic large gallstone or asymptomatic multiple gallstones may be assessed as fit. (2)     Applicants with symptomatic single or multiple gallstones should be assessed as unfit. A fit assessment may be considered following gallstone removal. (d)     Inflammatory bowel disease Applicants with an established diagnosis or history of chronic inflammatory bowel disease may be assessed as fit provided that the disease is stable and not likely to interfere with the safe exercise of the privileges of the applicable licence(s). (e)     Peptic ulceration Applicants with peptic ulceration should be assessed as unfit pending full recovery. (f)      Digestive tract and abdominal surgery Applicants who have undergone a surgical operation: (1)     for herniae; or (2)     on the digestive tract or its adnexa, including a total or partial excision or diversion of any of these organs 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. ##### AMC2 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 satisfactory recovery. (c) Gallstones (1) Applicants with a single asymptomatic large gallstone or asymptomatic multiple gallstones may be assessed as fit. (2) Applicants with symptomatic single or multiple gallstones should be assessed as unfit. A fit assessment may be considered following gallstone removal. (d) Inflammatory bowel disease Applicants with an established diagnosis or history of chronic inflammatory bowel disease may be assessed as fit provided that the disease is stable and not likely to interfere with the safe exercise of the privileges of the applicable licence(s). (e) Peptic ulceration Applicants with peptic ulceration should be assessed as unfit pending full recovery. (f) Digestive tract and abdominal surgery Applicants who have undergone a surgical operation: (1) for herniae; or (2) on the digestive tract or its adnexa, including a total or partial excision or diversion of any of these organs 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.