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.