AMC1 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 (Dec 2024)

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. 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. ##### 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.