ConditionsDigestive SystemShort Bowel Syndrome
Blue Book Listing 5.07

Short Bowel Syndrome

Loss of small intestine causing severe malabsorption.

What you have to prove

Show short bowel syndrome due to surgical resection of more than one-half of the small intestine, with dependence on daily supplemental parenteral nutrition via a central venous catheter.

Medical evidence SSA expects

Operative records documenting resection, nutrition support records (TPN orders), metabolic labs, and GI specialist notes.

Common misconceptions

Oral supplementation alone doesn't qualify — the listing specifically requires central venous TPN. Many short bowel patients adapt over time and wean off TPN, making this listing time-limited for them.

Didn't meet the listing? You can still qualify via a Medical-Vocational Allowance — SSA's determination that your residual functional capacity, combined with your age, education, and work history, leaves no jobs you can do. See our appeals guide for what to do after an initial denial.