Pioneering the Use of a Novel Endoscopic Ultrasound Platform for Rectal Endoscopic Ultrasound: A Case Series in Outpatient Management of Rectal Subepithelial Lesions.

Division

Far West

Hospital

Riverside Community Hospital

Document Type

Case Report

Publication Date

6-15-2026

Keywords

endoscopic ultrasound, lower gastrointestinal tract, rectal endoscopic ultrasound, rectal subepithelias lesions

Disciplines

Diagnosis | Digestive System Diseases | Gastroenterology | Medicine and Health Sciences

Abstract

We present the first reported use of the EndoSound Vision System (EVS; EndoSound, Inc, Portland, OR) for rectal endoscopic ultrasound (EUS) in an ambulatory surgical center. Two patients with rectal subepithelial lesions underwent EVS-assisted EUS, followed by same day endoscopic mucosal resection. EVS provided high-resolution imaging while maintaining forward-viewing optics and full working channel access. Both procedures were completed safely and efficiently in the outpatient setting. These cases highlight the feasibility of using EVS for rectal EUS and same session intervention in a carefully selected outpatient setting. Further studies are needed to define its role alongside established diagnostic modalities.

Publisher or Conference

ACG Case Reports Journal

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