: It is frequently used to monitor "artificial ulcers" created during Endoscopic Submucosal Dissection (ESD)
In a Western clinic, a patient presenting with Sakitamiwa might be diagnosed with viral gastroenteritis, influenza, or psychosomatic pain. However, the Sakitamiwa classification provides a specific cultural narrative for why the illness occurred. sakitamiwa classification
Over time, the redness fades as the capillaries decrease, and the area becomes a pale, "white scar" that eventually blends with the surrounding normal mucosa. Summary Table Key Endoscopic Feature Active (A) A1 Thick slough, significant edema, no regeneration A2 Clearer margins, reduced edema, initial regeneration Healing (H) H1 Thin slough, defect reduced by ~50%, more regeneration H2 Minimal slough, defect mostly covered by new tissue Scarring (S) S1 Red scar; no slough; complete epithelial coverage S2 White scar; pale appearance; fully healed : It is frequently used to monitor "artificial
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