{"id":2476,"date":"2009-07-23T12:41:18","date_gmt":"2009-07-23T12:41:18","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/gassm\/"},"modified":"2025-05-14T19:09:20","modified_gmt":"2025-05-14T19:09:20","slug":"gassm","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/gassm\/","title":{"rendered":"Clasificaci\u00f3n en Estadios de \u00dalcera G\u00e1strica de Sakita-Miwa"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>La \u00falcera g\u00e1strica son estadificadas, utilizando el sistema de estadios endosc\u00f3pico Sakita-Miwa, en 3 fases (activa, cicatrizaci\u00f3n, curaci\u00f3n) de la manera siguiente.<\/p>\n<p><!--more--><br \/>\n<script async src=\"\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script><br \/>\n<ins class=\"adsbygoogle\" style=\"display: block; text-align: center;\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\" data-ad-client=\"ca-pub-0127150553352455\" data-ad-slot=\"7834404329\"><\/ins><br \/>\n<script>\n     (adsbygoogle = window.adsbygoogle || []).push({});\n<\/script><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td align=\"center\"><strong>\u00a0Estadios<\/strong><\/td>\n<td align=\"center\"><strong>\u00a0Manifestaci\u00f3n<\/strong><\/td>\n<\/tr>\n<tr align=\"center\">\n<td colspan=\"2\"><strong>\u00a0Activa<\/strong><\/td>\n<\/tr>\n<tr>\n<td><strong>\u00a0A1<\/strong><\/td>\n<td>La mucosa que rodea est\u00e1 edematosamente hinchada y el epitelio de regeneraci\u00f3n no es visto endosc\u00f3picamente<\/td>\n<\/tr>\n<tr>\n<td><strong>\u00a0A2<\/strong><\/td>\n<td>El edema que la rodea se ha reducido, el margen de la \u00falcera es claro, y una ligera cantidad de epitelio de regeneraci\u00f3n se ve en el margen de la \u00falcera. Un halo rojo en la zona marginal y una escara blanca circular en el margen de la \u00falcera son visualizados frecuentemente. Por lo general, la convergencia de los pliegues de mucosa puede ser seguidos hasta el margen de la \u00falcera<\/td>\n<\/tr>\n<tr align=\"center\">\n<td colspan=\"2\"><strong>\u00a0Cicatrizaci\u00f3n<\/strong><\/td>\n<\/tr>\n<tr>\n<td><strong>\u00a0H1<\/strong><\/td>\n<td>Una fina capa blanca de regeneraci\u00f3n del epitelio se est\u00e1 extendiendo en base de la \u00falcera. El gradiente entre el margen de la \u00falcera y la base de la \u00falcera se est\u00e1 convirtiendo en plano. El cr\u00e1ter de la \u00falcera es a\u00fan evidente y el margen de la \u00falcera es marcado. El di\u00e1metro del defecto mucoso es de aproximadamente la mitad a dos tercios de A1<\/td>\n<\/tr>\n<tr>\n<td><strong>\u00a0H2<\/strong><\/td>\n<td>El defecto es m\u00e1s peque\u00f1o que en H1 y la regeneraci\u00f3n del epitelio cubre la mayor parte del piso de la \u00falcera. El \u00e1rea de la capa blanca es de aproximadamente un cuarto a un tercio que el de A1<\/td>\n<\/tr>\n<tr align=\"center\">\n<td colspan=\"2\"><strong>Curaci\u00f3n<\/strong><\/td>\n<\/tr>\n<tr>\n<td><strong>\u00a0S1<\/strong><\/td>\n<td>El epitelio de regeneraci\u00f3n cubre completamente el fondo de la \u00falcera. La capa blanca ha desaparecido. Inicialmente, la regi\u00f3n de regeneraci\u00f3n es marcadamente rojo. Tras una minuciosa observaci\u00f3n, muchos capilares puede ser vistos. Esto se llama \u00bbcicatriz roja\u00bb<\/td>\n<\/tr>\n<tr>\n<td><strong>\u00a0S2<\/strong><\/td>\n<td>En varios meses a unos pocos a\u00f1os, el enrojecimiento se reduce al color de la mucosa circundante. Esto se llama \u00abcicatriz blanca\u00bb<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Kaneko E, Hoshihara Y, Sakaki N, Harasawa S, Ashida K, Asaka M, Asaki S, Nakamura T, Kobayashi K, Kajiyama G, Ogawa N, Yao T, Muto Y, Nakazawa S, Takemoto T. Peptic ulcer recurrence during maintenance therapy with H2-receptor antagonist following first-line therapy with proton pump inhibitor. J Gastroenterol. 2000;35(11):824-31.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11085491\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Matsumoto S, Tsuji K, Shirahama S. Rebamipide enema therapy for left-sided ischemic colitis patients accompanied by ulcers: open label study. World J Gastroenterol. 2008 Jul 7;14(25):4059-64.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18609691\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: Jul 23, 2009<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>La \u00falcera g\u00e1strica son estadificadas, utilizando el sistema de estadios endosc\u00f3pico Sakita-Miwa, en 3 fases (activa, cicatrizaci\u00f3n, curaci\u00f3n) de la manera siguiente.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[53],"tags":[166,167,1071,1444,1443,1413,1442,1441,1440,368,367],"class_list":["post-2476","post","type-post","status-publish","format-standard","hentry","category-gastroenterology","tag-clasificacion","tag-classification","tag-estadio","tag-gastric","tag-gastrica","tag-gastroenterology","tag-miwa","tag-sakita","tag-stage","tag-ulcer","tag-ulcera"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2476","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2476"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2476\/revisions"}],"predecessor-version":[{"id":8731,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2476\/revisions\/8731"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2476"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2476"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2476"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}