The Sakita-Miwa classification (originally Sakita et al., 1971) is an endoscopic staging system used to categorize the lifecycle and healing progress of peptic ulcers. It is primarily used in East Asian clinical practice to assess gastric and duodenal ulcers.
A2 (Active-2): The surrounding edema decreases, and the ulcer margin becomes clear. A small amount of regenerating epithelium may begin to appear at the very edge of the margin. 2. Healing Stage (H) sakitamiwa classification
A misspelling or phonetic variation – 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 Sakita-Miwa classification (originally Sakita et al
This stage represents the acute phase of the ulcer where the mucosal defect is most prominent. A small amount of regenerating epithelium may begin
The edema begins to subside. While the white coating remains, the margins become more distinct, and the surrounding mucosa may show early signs of regeneration. 2. The Healing Stage (H) H1 (Healing-1):