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Pancreas-Objective procedures useful in establishing impairment include but are not limited to:
(1) radiography including plain or scout films of the abdomen, ultrasonography, CT scan, and endoscopic pancreatography;
(2) deter mination of plasma glucose and glucose tolerance;
(3) assay of pancreatic enzyme activity in blood, urine, and feces; (4) sweat electrolyte test; and
(5) selected secretory tests such as the secretion test, and cytology.
Classes of Upper Digestive Tract Impairment
Class 1. Impairment of the Whole Person, 1—5% Symptoms or signs of upper-digestive-tract disease are present or there is anatomic loss or alteration; and Continuous treatment is not required; and Weight can be maintained at the desirable level; or There are no sequelae after surgical procedures.
Class 2. Impairment of the Whole Person, 6—20% Symptoms and signs of organic upper-digestive-tract disease are present; or there is anatomic loss or alteration; and Appropriate dietary restrictions and drugs are required for control of symptoms, signs and/ or nutritional deficiency; and Loss of weight below the “desirable weight” does not exceed 10%
Class 3. Impairment of the Whole Person, 21—45% Symptoms and signs of organic upper-digestive-tract disease are present or there is anatomic loss or alteration; and Appropriate dietary restrictions and drugs do not completely control symptoms, signs, and! or nutritional state; or There is 10—20 pound loss of weight below the “desirable weight,” which is ascribable to a disorder of the upper digestive tract.
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