Sakitamiwa Classification May 2026

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

Clinical Report: Sakita-Miwa Classification for Gastric Ulcers 📋 Executive Summary sakitamiwa classification

Slough gone; replaced by a flat, red, radiating mucosal scar The ulcer base is completely covered by new

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At this point, the ulcer is considered "endoscopically cured" because the mucosal defect has vanished.

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In rheumatology, the system is used to classify synovial proliferative disorders, helping surgeons decide between arthroscopic debridement (for Sak-A/B) versus synovectomy or arthroplasty (for Sak-C/D).