MED.B.020 Digestive System

(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.

(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.