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).
In clinical research, these stages are sometimes assigned scores to quantify healing progress: : 5–6 points (most active) : 4–5 points : 3–4 points : 2–3 points : 1–2 points : 0–1 points (fully healed)
Implementing the Sakitamiwa Classification in low-resource settings (where SKTV is endemic) has required innovation. The JEACEZ recommends a tiered approach:
Slough becomes thinner; edema at the margin begins to decrease; the ulcer base is clearly demarcated . H1 sakitamiwa classification
For more specific information on how healing stages are assessed, studies like this randomized trial are useful, say researchers in Gut and Liver (2026).
Beyond the Biomedical: An Ethnomedical Analysis of 'Sakitamiwa' Classification and its Socio-Cultural Determinants
The Healing Stage represents the phase where the ulcer begins to close, and new tissue forms. H1cap H sub 1 The ulcer is at its peak
The system categorizes peptic ulcers into : Active (A), Healing (H), and Scarring (S). Each stage is further divided into two detailed sub-stages (1 and 2), creating a comprehensive six-point progression model. Main Stage Endoscopic Description & Visual Manifestation Active (A) A1
The ulcer becomes shallower (flat) as regenerative tissue covers most of the base. The ulcer crater is significantly reduced in size. 3. Scar Stage (S)
: The heavy surrounding edema begins to recede, causing the ulcer margins to become sharp, punchy, and highly discrete . The mucus coating on the floor remains present, but a faint, hyperemic red ring (halo) often outlines the border, signaling the very first microscopic shifts toward local blood circulation recovery. 2. The Healing Stage (H-Stage) The JEACEZ recommends a tiered approach: Slough becomes
Developmental epidermal and dermal defects
To help you generate the content you need, here are the based on how the term sounds and is structured:
: Gastroenterologists use the scale to measure how well an ulcer is responding to proton pump inhibitors (PPIs) or potassium-competitive acid blockers (P-CABs). Complete cure is typically defined when an ulcer successfully reaches the S1 or S2 stage.