Vagotomy with pyloroplasty or gastroenterostomy

For the 40% level, medical records confirming postoperative stricture or ongoing gastric retention are central. Imaging studies, endoscopy reports, or gastric emptying studies that document these findings directly support this level. Operative and follow-up notes recording when and how these complications were identified are also relevant.

For the 30% level, records confirming a diagnosis of alkaline gastritis matter most, along with treatment notes and test results such as endoscopy or pH studies that show alkaline reflux. If your basis for this level is persisting diarrhea, records documenting its frequency, duration, and confirmation of a postoperative cause are helpful. Your own statements describing how ongoing diarrhea affects daily activities or work can add context.

For the 20% level, records confirming that the vagotomy was incomplete are key. This could come from imaging, motility testing, or surgical follow-up notes that document residual vagal function. Statements from you about continuing symptoms after surgery can help show that incompleteness has a real effect on your daily life.