This classification system provides a standardized, objective framework for monitoring the progression of gastric and duodenal ulcers from their initial, active phase through healing and finally to scarring. What is the Sakita-Miwa Classification?
Regenerative epithelium (new tissue) appears around the margins of the ulcer, making them look smoother or less distinct than in the active stage. The white coat begins to disappear. sakitamiwa classification
Unlike the pulmonary classification in adults, TB in children presents differently due to the inability of children to expectorate sputum effectively and the higher likelihood of disseminated disease. This classification helps clinicians determine prognosis and treatment intensity. The white coat begins to disappear
: Edema decreases, the ulcer margin becomes clear, and small amounts of regenerating epithelium appear at the edges. Healing Stage (H1 & H2) H1 (Healing-1) : Edema decreases, the ulcer margin becomes clear,
The scarring phase marks the successful termination of the open wound, shifting focus toward structural consolidation.
: Randomised clinical trial: tegoprazan or lansoprazole in the treatment of gastric ulcer in Alimentary Pharmacology & Therapeutics (2020).