Evidence Checklist: Small Bowel Obstruction
DC 7328
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Imaging during obstructive episodes (X-ray or CT)Critical
Abdominal X-ray or CT scan obtained during obstructive episodes showing dilated bowel loops, air-fluid levels, or transition points.
Nexus opinion linking obstruction to service ("at least as likely as not")Critical
A medical opinion connecting your recurrent small bowel obstruction to adhesions from in-service abdominal surgery, injury, or other service-related cause.
Treatment Records
Surgical records showing abdominal surgery during serviceCritical
Operative reports from abdominal surgeries performed during military service that caused adhesions leading to recurrent obstruction.
ER visit records for obstructive episodes
Emergency room records documenting presentations for small bowel obstruction including symptoms, imaging, and treatment provided.
Lay Statements & Personal Documentation
Episode frequency documentation
A log or medical records documenting the frequency of obstructive episodes, hospitalizations, and days of incapacitation per year.
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 Intestinal ConditionsCritical
Standardized form capturing obstruction frequency, surgical history, and functional impact on nutrition and daily activities.
Service Records
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.