Russell body gastritis with Dutcher bodies evaluated using magnification endoscopy

Figure 1 Endoscopic imaging of the antral lesion before and after the eradication. A: An endoscopic image before the eradication shows a 13-mm whitish/slightly brownish lesion (arrow) on the lesser curvature of the antrum; B: Indigo carmine dye spray reveals that the antral lesion (arrow) is almost flat; C: Magnification endoscopy with narrow-band imaging shows the lesion (C, right side) exhibits loss or irregularity of the microsurface pattern and irregular microvascular proliferation compared to the background mucosa (C, left side). A demarcation line (D, arrowheads) is seen at the periphery of the lesion. E-F: Endoscopic images after the eradication therapy exhibit that the mucosal lesion (arrow) decreases in size to 7 mm in diameter (E) and preserves the gross appearance with indigo carmine dye spray (F).