Sakitamiwa Classification !!link!! May 2026

This transition indicates that medical treatment or natural recovery is effectively closing the wound.

The system tracks an ulcer from its most aggressive, open state to its final resolution as a healed scar.

The ulcer is significantly smaller. The regenerating epithelium covers most of the base, leaving only a tiny central defect. 3. Scarring Stage (S1 & S2) sakitamiwa classification

In modern research, doctors often assign numerical scores to these stages to quantitatively measure improvement. For example, a study on ischemic colitis or Behçet’s disease might use the following scale: Clinical Meaning Numerical Score (Example) Highly Active / Deep A2 Active / Slightly Improved H1 Early Healing H2 Advanced Healing S1 Red Scar (Healed) S2 White Scar (Mature) Why is this Classification Important?

At this point, the ulcer is considered "endoscopically cured" because the mucosal defect has vanished. This transition indicates that medical treatment or natural

This classification is a critical tool in clinical trials to evaluate the efficacy of acid-suppressing drugs like Proton Pump Inhibitors (PPIs) and Potassium-Competitive Acid Blockers (P-CABs) .

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 regenerating epithelium covers most of the base,

In this stage, the ulcer is "active" and often associated with the highest risk of complications like bleeding.

The ulcer is deep with a thick, white or yellowish-gray coating (slough) at the base. The margins are sharp and often swollen with edema.

The ulcer base is completely covered by new epithelium, but the area remains red and vascularized. This is a "fresh" scar.