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Gastritis-II: Pathophysiology01:17

Gastritis-II: Pathophysiology

Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
Gastritis II: Pathophysiology01:26

Gastritis II: Pathophysiology

The pathophysiology of gastritis begins with the colonization of the stomach lining by Helicobacter pylori (H. pylori). This bacterium spreads mainly via the oral-oral route through saliva or shared utensils, and can also be transmitted in overcrowded or unhygienic environments through contaminated water, despite its brief survival outside the body.ColonizationOnce ingested, H. pylori enters the stomach and begins colonization by navigating through the mucus layer lining the stomach wall. It...
Gastritis-I: Introduction and Types01:27

Gastritis-I: Introduction and Types

Gastritis, defined by the inflammation or irritation of the stomach lining or gastric mucosa, manifests in several distinct forms: acute, chronic, reactive, and a specific subtype known as autoimmune metaplastic atrophic gastritis.
Acute gastritis presents as a sudden inflammation triggered by various stressors to the stomach lining, such as exposure to corrosive agents, local irritants like aspirin and other NSAIDs, alcohol consumption, radiation therapy, physical trauma, severe burns, sepsis,...
Gastritis III: Clinical Manifestations and Management01:23

Gastritis III: Clinical Manifestations and Management

The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Other Disorders of Digestive System01:30

Other Disorders of Digestive System

The gastrointestinal tract is susceptible to various disorders. If the lower esophageal sphincter is damaged, stomach acid can flow back into the esophagus, causing irritation and inflammation of the lining. This condition is called gastroesophageal reflux disease (known as heartburn) and may cause chest pain and difficulty swallowing. In the stomach, prolonged use of nonsteroidal anti-inflammatory drugs like aspirin, chronic alcohol consumption, bacterial infections such as Helicobacter...
Bacterial Gastroenteritis01:18

Bacterial Gastroenteritis

Bacterial gastroenteritis, characterized by diarrhea, abdominal cramps, and vomiting, is often caused by ingestion of contaminated food or water and is frequently associated with pathogenic Escherichia coli strains. These microbes exploit two principal mechanisms to inflict disease.Shiga toxin–producing E. coli, also referred to as STEC—notably O157:H7—release Shiga toxins that target ribosomes, blocking protein synthesis. The B subunit of the toxin binds the host glycolipid receptor...

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Updated: May 21, 2026

Gastric Point of Care Ultrasound in Adults: Image Acquisition and Interpretation
05:50

Gastric Point of Care Ultrasound in Adults: Image Acquisition and Interpretation

Published on: September 22, 2023

[Russell body gastritis].

Susumu Miura1, Kentarou Shirahama, Masahiro Sakaguchi

  • 1Department of Gastroenterology and Gastroenterological Surgery, Moriguchi Keijinkai Hospital.

Nihon Shokakibyo Gakkai Zasshi = the Japanese Journal of Gastro-Enterology
|June 13, 2012
PubMed
Summary

Russell body gastritis, a rare condition, was diagnosed in a patient presenting with upper gastrointestinal symptoms. Successful treatment involved Helicobacter pylori eradication, leading to patient recovery.

Related Experiment Videos

Last Updated: May 21, 2026

Gastric Point of Care Ultrasound in Adults: Image Acquisition and Interpretation
05:50

Gastric Point of Care Ultrasound in Adults: Image Acquisition and Interpretation

Published on: September 22, 2023

Area of Science:

  • Gastroenterology
  • Pathology
  • Oncology

Background:

  • Russell body gastritis is a rare benign gastric entity characterized by plasma cell infiltration with characteristic Russell bodies.
  • Distinguishing Russell body gastritis from gastric lymphoma and plasmacytoma can be challenging due to observed monoclonality.

Observation:

  • A 63-year-old woman presented with chest and back pain, leading to an upper gastrointestinal endoscopy.
  • Endoscopy revealed an elevated lesion in the gastric antrum, and biopsies showed monoclonal plasma cells with Russell bodies.

Findings:

  • Molecular analysis of the immunoglobulin heavy chain (IgH) gene rearrangement was negative, ruling out B-cell lymphoma.
  • Diagnosis of Russell body gastritis was confirmed, with Giemsa stains indicating Helicobacter pylori infection.

Implications:

  • This case highlights the importance of comprehensive diagnostic workup, including molecular analysis, for gastric lesions.
  • Successful eradication therapy for Helicobacter pylori resulted in complete recovery, suggesting a potential role for H. pylori in the pathogenesis or exacerbation of Russell body gastritis.