# Commission Regulation (EU) No 1178/2011 of 3 November 2011 laying down technical requirements and administrative procedures related to civil aviation aircrew pursuant to Regulation (EC) No 216/2008 of the European Parliament and of the Council (Text with EEA relevance), Division MED.B.020: Digestive System

Extent: E+W+S+N.I.

(a)Applicants with any sequelae of disease or surgical intervention in any part of the digestive tract or its adnexa likely to cause incapacitation in flight, in particular any obstruction due to stricture or compression, shall be assessed as unfit.
(b)Applicants who have herniae that might give rise to incapacitating symptoms shall be assessed as unfit.
(c)Applicants with any of the following disorders of the gastrointestinal system may be assessed as fit subject to satisfactory gastrointestinal evaluation after successful treatment or full recovery after surgery:
(1)recurrent dyspeptic disorder requiring medication;
(2)pancreatitis;
(3)symptomatic gallstones;
(4)a clinical diagnosis or documented medical history of chronic inflammatory bowel disease;
(5)after surgical operation on the digestive tract or its adnexa, including surgery involving total or partial excision or a diversion of any of these organs.
(d)Aero-medical assessment
(1)Applicants for a class 1 medical certificate with the diagnosis of any of the medical conditions specified in points (2), (4) and (5) of point (c) shall be referred to the medical assessor of the CAA.
(2)The fitness of applicants for a class 2 medical certificate with the diagnosis of the medical condition specified in point (2) of point (c) shall be assessed in consultation with the medical assessor of the CAA.

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Source: https://www.legislation.gov.uk/eur/2011/1178/annex/IV/division/SUBPART+B/section/2/division/MED.B.020 (the official version)
Page: https://openlegislation.uk/eu-regulation-2011-1178/annex-IV/division-SUBPART+B/section-2/division-MED.B.020
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.