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. 2016 Feb 8;8(4):231–262. doi: 10.4254/wjh.v8.i4.231

Table 8.

Different classification systems for portal hypertensive gastropathy

Ref. Mild Moderate Severe
McCormack et al[3] Fine pink speckling (scarlatina type rash) Discrete red spots (analogous to cherry
Superficial reddening, especially on rugal surface (striped appearance) red spots in esophagus)
Fine white reticular pattern separating areas of raised edematous mucosa (snake skin) Diffuse hemorrhagic gastritis
McCormick et al[7] Mosaic or snake skin appearance Presence of erythema Presence of erosions or hemorrhagic gastritis
Tanoue et al[180] Mild reddening, congestive mucosa, no mosaic - like pattern Severe redness and a fine reticular pattern separating the areas of raised edematous mucosa (mosaic-like pattern) or a fine speckling Grade III (severe)
Point bleeding + grade II (moderate)
Spina et al[70] (NIEC) Mosaic-pattern: Presence of small, Red point lesions (1 mm in diameter, flat)
polygonal areas surrounded by a Cherry-red spots (2 mm, slight protrusion)
whitish-yellow depressed border Black-brown spots (irregularly shaped, persistently present after washing)
Sarin et al[8] Discrete cherry red spots, with or without mosaic pattern Presence of confluent red spots, diffusely distributed in a large portion of the stomach
Sarin et al[181] (Baveno II Consensus Workshop)[181] Mild ≤ 3 points1 Severe ≥ 4 points1
Gastric antral ectasia
Absent (0)
Present (2)
Yoo et al[182] Fine pink speckling (scarlatina type rash) Discrete red spots
2-category classification Superficial reddening Diffuse hemorrhagic lesion
Mosaic pattern
Yoo et al[182] Mild reddening Flat red spot in center of a pink areola Diffusely red areola
3-category classification Congestive mucosa Severe redness and a fine reticular pattern Pinpoint bleeding
Diffuse pink areola Discrete or confluent red mark lesion
1

Points assigned for Baveno II consensus according to the following: Mild mucosal mosaic pattern = 1 point, severe mucosal mosaic pattern = 2 points; isolated red markings = 1 point, confluent red markings = 2 points; gastric antral ectasia present = 2 points.