Complications following partial or total pancreas removal including diabetes, malabsorption, and chronic pain. Loss of pancreatic tissue causes insufficient insulin (diabetes) and digestive enzyme (malabsorption) production. Symptoms include difficult-to-control blood sugar, fatty diarrhea, weight loss, vitamin deficiencies (A, D, E, K), and abdominal pain.
Incapacitating. Severe unstable diabetes with frequent hypoglycemia/DKA, severe malnutrition requiring TPN or tube feeding, or incapacitating pain
Severe symptoms. Brittle diabetes difficult to control, severe malabsorption despite enzyme replacement, significant nutritional deficiencies, chronic pain
Moderate symptoms. Requiring pancreatic enzyme replacement and diabetes requiring insulin, moderate malabsorption with supplements
Mild symptoms. Mild enzyme insufficiency or diabetes manageable with oral medications and diet
Medical Evidence
Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history
Service Connection
Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)
Personal Statement
Your detailed account of how post-pancreatectomy syndrome affects your daily life and when symptoms began
Lay Evidence
Buddy letters from fellow service members or family who can corroborate your symptoms
During your Compensation & Pension exam for post-pancreatectomy syndrome, examiners will assess your symptoms against the rating criteria above.
Be specific: Describe your worst day, not your average day
Document everything: Bring copies of all medical records and evidence
Functional impact: Explain how symptoms affect work, sleep, and daily activities
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