VA Disability Rating for Small Intestine Resection (DC 7328)
Diagnostic Code 7328 · 38 CFR §4.114
What Is It?
Small intestine resection means having a section of the small bowel surgically removed. Veterans may need this surgery due to combat injuries, Crohn's disease that developed during service, intestinal obstructions, or complications from other abdominal conditions. The small intestine is where most nutrient absorption happens, so removing a portion can cause chronic problems with digestion and nutrition. The more intestine removed, the more severe the nutritional impact, a condition sometimes called short bowel syndrome.
Rating Criteria
| Rating | Criteria |
|---|---|
| 60% | Major resection causing marked interference with absorption and nutrition. Definite weight loss, chronic diarrhea, anemia, and need for dietary supplements or parenteral nutrition. Significant impact on daily functioning. |
| 40% | Moderate resection causing definite digestive interference. Weight loss, recurring diarrhea, malabsorption of certain nutrients, and need for ongoing dietary management and supplements. |
| 20% | Limited resection with mild malabsorption symptoms. Some dietary adjustments needed, occasional diarrhea, and symptoms that are generally manageable. |
Evidence Needed
- Surgical records documenting the resection including how much intestine was removed and why
- Post-operative records showing recovery and any complications
- Lab results showing nutritional deficiencies (iron, B12, folate, fat-soluble vitamins)
- Weight records showing any weight loss or difficulty maintaining weight
- Treatment records for ongoing malabsorption symptoms
- Records of any nutritional supplements, special diets, or parenteral nutrition required
C&P Exam Tips
- Know approximately how much small bowel was removed — ask your surgeon if you are unsure
- Bring lab results showing vitamin and mineral deficiencies
- Describe your bowel habits in detail — frequency, consistency, urgency of stools
- Report any weight loss and difficulty gaining or maintaining weight
- List all nutritional supplements you take
- Explain how frequent bathroom trips and dietary limitations affect work and daily life
How to File
File under DC 7328 for resection of the small intestine. Include surgical records detailing the procedure and amount of intestine removed, along with current lab work showing any nutritional deficiencies. If the surgery resulted from a service-connected condition or injury, establish that chain clearly in your claim.
Common Mistakes
Not knowing how much intestine was removed Skipping nutritional blood work Not tracking weight changes
Frequently Asked Questions
What is short bowel syndrome?
Short bowel syndrome occurs when so much of the small intestine has been removed that the remaining portion cannot adequately absorb nutrients. This leads to chronic diarrhea, dehydration, and malnutrition. It is the most severe outcome of small bowel resection and typically results in the highest disability rating.
Does it matter which part of the small intestine was removed?
Yes. Different sections of the small bowel absorb different nutrients. Removal of the ileum (the last section before the colon) tends to cause the most problems because it is where B12 and bile salts are absorbed. Your surgical records should specify which section was resected.