Sakitamiwa Classification ^new^

The edema begins to subside, and the ulcer margins become clearer. The mucus coating remains prominent. 2. Healing Stage (H) In this stage, signs of tissue repair become visible.

: The acute injury phase characterized by necrosis and intense surrounding inflammation.

It helps determine if a drug (e.g., vonoprazan vs. rabeprazole) provides faster healing of post-Endoscopic Submucosal Dissection (ESD) ulcers.

The Healing Stage marks the body's successful structural defense and repair response. sakitamiwa classification

The ulcer is at its peak activity. It is characterized by a thick white-plaque coating (slough), discrete margins, and significant surrounding edema.

The edema in the surrounding mucosa begins to decrease. The ulcer floor remains covered with slough, but the margins become more distinct. Intestinal Research 2. Healing Stage (H)

| Resource Level | Minimum required for Stages I–II | For Stages III–IV | |----------------|----------------------------------|------------------| | (clinic) | Tourniquet test, platelet count, urine dipstick | Transfer to district hospital | | Medium (hospital) | Rapid NS1 antigen test, bedside ultrasound for ascites | Complete blood count, ALT, creatinine, chest X-ray | | High (tertiary) | Quantitative RT-PCR for V-score, serum angiopoietin-2 | CT brain, continuous renal replacement therapy | The edema begins to subside, and the ulcer

– For example, similar-sounding terms might include Sakitami (a name or place), sakti/śakti (Sanskrit for power), miwa (a Japanese surname or Shinto term), or Saikami (a Japanese shrine name).

The ulcer is at its peak. The surrounding mucosa (lining) is swollen and red, and the ulcer floor is covered with a thick "white coating" (slough).

[ 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) Healing Stage (H) In this stage, signs of

This phase is characterized by the active regrowth of new tissue (regenerating epithelium) over the ulcer crater. The progression from H1 to H2 shows the ongoing reduction in the size of the ulcer defect.

How to in specific cases.

Mature healing; the red scar fades to a stable, pale white scar 💡 Clinical Significance and Application