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7309
§ 4.114 Schedule of ratings—digestive system.

Stomach narrowing (stenosis)

Abnormal narrowing of the stomach that restricts the passage of food and fluids.

What the rating means

VA rates stomach stenosis (diagnostic code 7309) by looking at your predominant disability — meaning your most significant symptoms — and then rating it under one of two other diagnostic codes: chronic complications of upper gastrointestinal surgery (7303) or peptic ulcer disease (7304). VA does not combine this rating with other digestive system ratings; instead, it assigns a single rating under whichever code best reflects your overall disability picture, and may raise it one level if the full picture warrants it.

Under the surgery complications formula (7303), possible ratings are 80%, 50%, 30%, 10%, and 0%. The highest levels require tube feeding or total parenteral nutrition, or severe daily symptoms such as daily vomiting or frequent watery bowel movements. Lower levels reflect less frequent vomiting or bowel symptoms, or symptoms managed by ongoing medication.

Under the peptic ulcer formula (7304), possible ratings are 100%, 60%, 40%, 20%, and 0%. The 100% rating applies for three months after surgery for perforation or hemorrhage, after which VA re-examines and rates on residuals. Lower levels are based on the frequency and duration of pain, nausea, or vomiting episodes and whether daily prescribed medication is required.

Evidence that helps

Because your rating depends on which formula — surgery complications or peptic ulcer disease — better matches your predominant symptoms, the most helpful evidence directly documents those symptoms and their severity.

For the surgery complications levels, medical records showing a need for continuous tube feeding or total parenteral nutrition for more than 30 consecutive days in the last six months support the 80% level. Records of daily vomiting, frequent or explosive watery bowel movements, or post-meal light-headedness, along with prescription records for medications treating dumping syndrome or delayed gastric emptying, support the 50% level. Treatment notes documenting recurring vomiting, pain after eating requiring dietary changes, or daily bowel symptoms support the 30% level.

For the peptic ulcer levels, operative and hospitalization records support higher ratings. Endoscopy or imaging records, prescription records for daily medication, and documentation of how often and how long your pain, nausea, or vomiting episodes last support the mid-range levels. Your own statements, and statements from people who know you, describing how symptoms affect your ability to work, eat, and carry out daily activities can help show the full impact of your condition.

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.