Decision Considerations - Aerospace Medical Dispositions
Item 38. Abdomen and Viscera

The following lists the most common conditions of aeromedical significance, and course of action that should be taken by the examiner as defined by the protocol and disposition in the table. Medical certificates must not be issued to an applicant with medical conditions that require deferral, or for any condition not listed that may result in sudden or subtle incapacitation without consulting the AMCD or the RFS. Medical documentation must be submitted for any condition in order to support an issuance of an airman medical certificate.

• Barrett's Esophagus (PDF)
• Cholelithiasis (gallstones) (PDF)
• Colon Cancer/ Colorectal Cancer (PDF)
• Colitis(Ulcerative, Regional Enteritis, or Crohn's disease) or Irritable Bowel Syndrome
• Esophageal Varices (PDF)
• Hernia - Inguinal, ventral, or hiatal
• Liver Disease:
  • Cirrhosis(alcoholic and non-alcoholic) (PDF)
  • Hepatitis and Hepatitis
  • Liver Transplant(recipient, donor, and in combination with other organs) (PDF) 
  • Metabolic dysfunction-Associated Liver Disease (MASLD)/Non-Alcoholic Fatty Liver Disease (NAFLD),  and Metabolic dysfunction-Associated Steatohepatitis (MASH)/Non-Alcoholic Steatohepatitis (NASH):
    • MASLD/MASH Disposition Table (PDF) 
    • MASH/NASH CACI (PDF) 
• Pancreatitis (PDF)
• Splenomegaly
• Ulcer