Sakitamiwa Classification

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Regenerative epithelium (new skin-like tissue) begins to appear at the edges, making the ulcer shallower. The white coating starts to shrink.

[ Active Stage ] ----------> [ Healing Stage ] ----------> [ Scarring Stage ] ├── A1: Acute Slough ├── H1: Mucosal Bridging ├── S1: Red Scar └── A2: Defined Margins └── H2: Converging Folds └── S2: White Scar 1. The Active Stage (A-Stage) sakitamiwa classification

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The central necrotic slough becomes considerably thinner and starts to shrink in diameter as regenerated epithelium moves in. Reddish, velvety regenerating epithelial tissue forms a distinct ring at the peripheral margins, advancing inward to gradually bridge the mucosal defect. – Some fandoms create detailed classification systems (e

[A1: Acute Active] ──> [A2: Defined Active] ──> [H1: Early Healing] │ [S2: Mature Scar] <── [S1: Red Scarring] <── [H2: Advanced Healing] 1. The Active Stage (Stage A)

The regenerating epithelium covers most of the ulcer floor, leaving only a small amount of white slough in the center. The ulcer is notably shallower. Intestinal Research 3. Scarring Stage (S) The white coating starts to shrink

It is used for quantitative scoring, where a higher healing score can indicate a more active, unhealed ulcer (e.g., A1 is given a higher score than S2). 3. Beyond Gastric Ulcers: Broader Applications