Sakitamiwa Classification <2025>

The Sakita-Miwa classification is heavily used in clinical trials and day-to-day practice in Japan and other East Asian countries to:

Ulcer shrinks; reddish regenerating epithelium appears at the borders sakitamiwa classification

It allows physicians to measure the ulcer reduction rate, such as comparing the effectiveness of different Proton Pump Inhibitors (PPIs) or potassium-competitive acid blockers (P-CABs) like vonoprazan. The Sakita-Miwa classification is heavily used in clinical

The Sakita-Miwa Classification: A Comprehensive Guide to Peptic Ulcer Healing Stages sakitamiwa classification

The following table summarizes the endoscopic appearance at each stage.

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