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Granted

The Veteran's PSC and ulcerative colitis were initially manifested during his active duty service.,His postsurgical changes from a total colectomy with ileoanal anastomosis was secondary to his ulcerative colitis.,His cholangiocarcinoma (bile duct cancer) was secondary to his PSC and ulcerative colitis.,His adenocarcinoma of the liver was secondary to his cholangiocarcinoma.

The deciding factor: The evidence is in relative equipoise as to whether the Veteran's PSC and ulcerative colitis initially manifested during his service via abnormal liver function tests. The medical evidence attributed these conditions to his now-service-connected PSC and ulcerative colitis.,The postsurgical changes from a total colectomy with ileoanal anastomosis was secondary to his now-service-connected PSC and ulcerative colitis.,The cholangiocarcinoma was secondary to the Veteran's now-service-connected PSC and ulcerative colitis.,The liver cancer metastasized from the Veteran's now-service-connected cholangiocarcinoma.

Claimed conditions
primary sclerosing cholangitis (PSC), ulcerative colitis, postsurgical changes from a total colectomy with ileoanal anastomosis, cholangiocarcinoma (bile duct cancer), adenocarcinoma of the liver
How they argued it
Secondary to another service-connected condition
Exposure basis
None
Rating assigned
None in this decision
Decision date
October 17, 2023
Citation
23056580

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. Look up the original decision on VA.gov (opens in a new tab) using citation 23056580.

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