Evidence Checklist: Barrett's Esophagus
DC 7346
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Endoscopy with biopsy confirming intestinal metaplasiaCritical
Upper endoscopy with biopsy results confirming Barrett's esophagus (intestinal metaplasia of the esophageal lining), the definitive diagnostic requirement.
Nexus opinion linking Barrett's esophagus to service ("at least as likely as not")Critical
A medical opinion connecting your Barrett's esophagus to service-connected GERD or other service-related gastrointestinal condition.
Dysplasia grading documentation
Pathology reports documenting the degree of dysplasia (no dysplasia, low-grade, high-grade), which impacts prognosis and treatment urgency.
Treatment Records
Surveillance endoscopy records
Records of periodic surveillance endoscopies monitoring for dysplasia progression, which documents the ongoing severity of the condition.
Connection to service-connected GERD
Medical records establishing the progression from service-connected GERD to Barrett's esophagus, supporting a secondary service connection claim.
Weight loss and dietary impact documentation
Records documenting weight loss, dietary restrictions, and nutritional impact caused by Barrett's esophagus and associated symptoms.
Lay Statements & Personal Documentation
Buddy statement from spouse, family, or fellow service member
A written statement from someone who can describe observable symptoms and how your condition affects daily life.
Disability Benefits Questionnaire (DBQ)
Completed DBQ Esophageal ConditionsCritical
Standardized form capturing endoscopy and biopsy results, dysplasia status, treatment, and functional impact.
Service Records
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.