Sakitamiwa Classification [upd] Access

: Sakita T, et al. "Endoscopic diagnosis of ulcer—Classification of the ulcer stage." Japan Journal of Gastroenterology (1971).

This is for informational purposes only. For medical advice or diagnosis, consult a professional. AI responses may include mistakes. Learn more

Deep crater, heavy white/gray slough, intense surrounding edema Slough remains, but surrounding mucosal edema subsides Healing (H) H1

The coating becomes thinner, and the ulcer size significantly decreases. Regenerative epithelium appears, forming a white or reddish border around the ulcer margin. sakitamiwa classification

The ulcer is deep with a thick "white coating" (slough) at the base. The surrounding mucosa is edematously swollen, and no regenerating epithelium is visible.

The (originally Sakita et al., 1971) is an endoscopic staging system used to categorize the lifecycle and healing progress of peptic ulcers . It is primarily used in East Asian clinical practice to assess gastric and duodenal ulcers.

Here is the full content regarding the Sakit-Miwa Classification, its clinical significance, and application. : Sakita T, et al

Over weeks or months, the redness fades into a white or pale scar as the tissue matures. This marks the final stage of healing. Clinical Utility and Scoring

The redness fades, and the area becomes white and flat, blending with the surrounding mucosa (White Scar) .

The ulcer crater becomes significantly shallower; the white coating covers only a fraction of the original center as the red ring expands. S1 (Red Scar) For medical advice or diagnosis, consult a professional

The Sakita-Miwa classification is essential for several reasons:

Hamartomas and overgrowth syndromes