This is the final stage where the ulcer has completely closed, leaving only a scar behind. ClinicalTrials.gov S1 (Scarring 1/Red Scar):
The ulcer is at its peak activity. It is characterized by a thick white-plaque coating (slough), discrete margins, and significant surrounding edema.
The ulcer has completely epithelialized, leaving a distinct red scar (red scar). sakitamiwa classification
is the hallmark of an acute, active ulcer. The ulcer crater is typically deep and completely covered by a thick, shaggy layer of white or yellowish-white fibrin slough—the necrotic tissue at the base of the ulcer. This stage is characterized by significant inflammation of the surrounding area; the mucosa adjacent to the crater is markedly swollen, red, and edematous, which makes the ulcer’s margins look heaped up. Importantly, no visible regenerating epithelium (the new, healthy pink tissue) is seen at the edges.
Sakita-Miwa classification (also known as the Sakita and Miwa scale) is This is the final stage where the ulcer
This is the initial phase when the ulcer is actively inflamed and causing the most severe symptoms for the patient. The division between A1 and A2 reflects the earliest signs of the body's healing efforts.
: The white coating becomes thin, and new epithelium significantly extends into the ulcer base. The ulcer crater is still visible, but its diameter is reduced to about one-half or two-thirds of the A1 size. The ulcer has completely epithelialized, leaving a distinct
: The healing accelerates. The central white patch shrinks significantly, turning into a tiny island surrounded by a dominant, concentric ring of fresh red tissue. 3. The Scarring Stage (Stage S)
a widely used endoscopic staging system for assessing the life cycle and healing process of gastric ulcers . It categorizes ulcers into three main stages— Active (A) Healing (H) Scarring (S)
It appears to be either: