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7357
§ 4.114 Schedule of ratings—digestive system.

Post pancreatectomy syndrome

Digestive and metabolic complications that develop after surgical removal of all or part of the pancreas.

What the rating means

Post pancreatectomy syndrome (diagnostic code 7357) covers disability that follows a total or partial surgical removal of the pancreas. VA does not apply a single fixed rating scale directly to this condition. Instead, VA evaluates it by looking at the ongoing problems the surgery has caused and rating those problems under whichever other diagnostic code best captures your situation — chronic pancreatitis (DC 7347), chronic complications of upper gastrointestinal surgery (DC 7303), malabsorption (DC 7328), diarrhea rated as irritable bowel syndrome (DC 7319) or Crohn's disease or undifferentiated inflammatory bowel disease (DC 7326), or diabetes (DC 7913). VA then assigns the rating that gives you the highest evaluation. Whatever path is used, the rating cannot go below 30%. One additional rule applies: VA will not combine this rating with ratings for most other digestive-system conditions listed in the schedule. If more than one of those codes would otherwise apply, VA assigns a single rating under the code that best reflects the overall disability picture, and may raise it one level if the total severity warrants it.

Evidence that helps

Because your rating is built around specific residuals or complications, the evidence that helps most is whatever documents those ongoing problems. If chronic pancreatitis-type symptoms remain, records showing frequency and severity of pain episodes, enzyme levels, and imaging findings are relevant. If your main problem is malabsorption, records of weight loss, nutritional deficiencies, stool studies, or lab values showing poor absorption support that angle. If diarrhea is predominant, medical records describing frequency, urgency, and how it limits your daily activities and work are useful. If diabetes developed after the surgery, records of blood sugar control, medication requirements, and any complications tie directly to the diabetes rating criteria. Statements from you and people who know you — describing how these symptoms affect your ability to work, maintain a healthy weight, or carry out daily routines — can help show overall severity. A VA or private medical opinion connecting the residuals to the pancreatectomy also strengthens the record.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.