Evidence Checklist: Gallbladder Removal Residuals (Post-Cholecystectomy Syndrome)
DC 7318
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Nexus opinion linking condition to service ("at least as likely as not")Critical
A medical opinion connecting your gallbladder removal or its residual symptoms to military service, including stress, diet, or medication-related causes.
Treating Physician
Dietary restriction documentation
Records from your physician or nutritionist documenting dietary restrictions and modifications required due to gallbladder removal residuals.
Treatment Records
Surgical records from cholecystectomyCritical
Operative report and hospital records from your gallbladder removal surgery, including any complications during or after the procedure.
Documentation of ongoing digestive symptoms post-surgeryCritical
Medical records documenting post-cholecystectomy syndrome symptoms such as chronic diarrhea, bloating, nausea, abdominal pain, and bile reflux.
Treatment records for post-cholecystectomy syndrome
Records showing medications prescribed for ongoing symptoms, dietary modifications, and specialist follow-up visits.
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.
Personal statement describing symptoms and functional impact
Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.
Disability Benefits Questionnaire (DBQ)
Completed DBQ Gallbladder and Pancreas ConditionsCritical
Standardized form capturing post-surgical symptoms, treatment requirements, and functional impact.
Service Records
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.