Savary-Miller classification

Gastroenterology and hepatology

Also known as: Savary-Miller-Klassifikation · Savary-Miller sınıflaması · Savary-Miller classification of reflux oesophagitis

What it is for

Older endoscopic grading of reflux oesophagitis by the extent of erosions, with the highest grades for chronic complications. It has been largely replaced by the Los Angeles classification in reports and trials.

Classification

CategoryDescription
Grade Isingle or isolated erosion(s) on one longitudinal fold
Grade IImultiple erosions on more than one longitudinal fold, not circumferential, with or without confluence
Grade IIIcircumferential erosions
Grade IVchronic lesions: ulcer(s), stricture(s) and/or short oesophagus, alone or with grade I–III lesions
Grade VBarrett's oesophagus (columnar epithelium)
Notethe published versions differ (for example in how complications and Barrett's are grouped), so the version used should be named; use and interpretation vary between centres.

Source

The Oesophagus: Handbook and Atlas of Endoscopy

Verlag Gassmann, Solothurn 1977 (Savary M, Miller G)

Edition
Savary and Miller 1977 (atlas); several modified versions exist
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Summary of the published classification in our own words. Not a substitute for the original publication.

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