The Board has found that additional remand is necessary due to the inadequacy of previous VA medical opinions and the need for new informed consent forms. The Veteran claims he suffered rectal perforation and colostomy as a result of carelessness or negligence by VA providers during bowel training procedures.
The deciding factor: The Board finds that the previous VA medical opinions were inadequate and did not address all aspects required by the remand directives, particularly regarding the digital stimulation performed during the Veteran's bowel care.
- Claimed conditions
- rectal perforation, colostomy
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating
- Not verified here — check the original decision
- Decision date
- April 12, 2021
- Citation
- 21021191
This is a plain-language summary generated by AI from a public Board of Veterans’ Appeals decision. It can contain errors — always verify against the original. Read the original VA decision (opens in a new tab) using citation 21021191.
What this means for you
A remand sends an issue back for more development, often a new examination or missing records. It does not award the benefit or decide the final outcome. The original decision explains the additional work ordered.
What you can do next
Use your own notice and decision stage. A remanded issue is not a final court-appealable denial. VA review guidance and CAVC filing instructions (U.S. federal; reviewed October 7, 2026).
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Whole decision: Denied
The Veteran's claim for an earlier effective date for service connection of a colostomy disability is denied as the earliest possible effective date, August 10, 2022, was granted due to the PACT Act. The July 2013 rating decision denying service connection was not appealed within one year and thus became final.
- Whole decision: Denied
The Veteran's claim for an effective date earlier than September 2, 2020, for the award of service connection for colostomy, ileostomy, rectal vaginal fistula, and small bowel obstruction (SBO) surgery was denied as there was no new and material evidence received within one year of the issuance of the December 2013 decision.
- Whole decision: Dismissed
The appeal for service connection of rectal cancer, which required a colostomy after surgery, has been dismissed due to the appellant's death during the appeal process.
- Whole decision: Dismissed
The veteran's appeal for service connection for chronic obstructive pulmonary disease and rectal adenocarcinoma was dismissed due to a late filing of the Board Appeal request.
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