Forest classification of peptic ulcer

By Randommedstudent Tagged peptic ulcer Leave a comment

Forest classification is used to classified gastric ulcer under the view of endoscope (OGDS). It is divided into active bleeding, recent bleeding and without active bleeding. Acute hemorrhage Forrest I a (Spurting hemorrhage) Forrest I b (Oozing hemorrhage) Signs of recent hemorrhage Forrest II a (Visible vessel) Forrest II b (Adherent clot) Forrest II c (Hematin on ulcer base) Lesions without active bleeding Forrest III (Clean base) Endoscopic picture Acute hemorrhage Forrest I a (Spurting hemorrhage)

obtained from daveproject.org

Forrest I b (Oozing hemorrhage)

obtained from sciencedirect Signs of recent hemorrhage Forrest II a (Visible vessel)

Forrest II b (Adherent clot)

Forrest II c (Hematin on ulcer base)

Lesions without active bleeding Forrest III (Clean base)

*rest of the image is obtained from http://www.msgh.org.my/resources/forrest.htm