Gastrointestinal Endoscopy Devices Market Size and Share

Gastrointestinal Endoscopy Devices Market (2026 - 2031)
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Gastrointestinal Endoscopy Devices Market Analysis by Mordor Intelligence

The Gastrointestinal Endoscopy Devices Market size is projected to be USD 20.85 billion in 2025, USD 22.24 billion in 2026, and reach USD 30.70 billion by 2031, growing at a CAGR of 6.66% from 2026 to 2031.

The market is being supported by the steady rise in colorectal and upper gastrointestinal cancer screening demand, as the American Cancer Society estimates 158,850 new colorectal cancer cases in the United States in 2026, including 49,990 rectal cancer cases, which keeps procedure demand firm across both diagnostic and therapeutic use cases. The gastrointestinal endoscopy devices market is also benefiting from a younger screening pool, because incidence in adults aged 20 to 49 has been rising by 1% to 2% a year since the mid-1990s, which extends future procedure volume beyond the older screening base that once defined demand. The gastrointestinal endoscopy devices market gained another volume tailwind after CMS expanded preventive coverage for CT colonography and blood-based biomarker tests from January 1, 2025, since positive findings from those tests still move patients into follow-on colonoscopy pathways. The gastrointestinal endoscopy devices market is further shaped by the move toward outpatient care and AI-enabled imaging, because gastroenterology remains among the faster-growing ambulatory surgery center specialties and AI-assisted colonoscopy continues to raise adenoma detection performance enough to justify platform upgrades and software subscriptions. The gastrointestinal endoscopy devices market therefore remains commercially attractive, although capital spending pressure at hospitals, tighter price competition, and staffing gaps in reprocessing and endoscopy support still favor companies that can sell compact systems, disposable products, and software-led workflows rather than rely only on large tower replacement cycles.

Key Report Takeaways

  • By product type, endoscopes held 38.31% of gastrointestinal endoscopy devices market share in 2025, while visualization equipment is projected to expand at an 8.38% CAGR through 2031.
  • By reusability, reusable endoscopes held 80.24% revenue share in 2025, while single-use endoscopes are forecast to grow at a 7.52% CAGR through 2031.
  • By age group, adults accounted for 65.52% share in 2025, while geriatrics is projected to record the highest CAGR at 7.25% through 2031.
  • By application, diagnostics accounted for 68.22% of the gastrointestinal endoscopy devices market size in 2025, while therapeutics is forecast to grow at a 7.15% CAGR through 2031.
  • By end user, hospitals held 54.34% share in 2025, while ambulatory surgery centers are projected to expand at an 8.85% CAGR through 2031.
  • By geography, North America held 38.22% of gastrointestinal endoscopy devices market share in 2025, while Asia-Pacific is projected to grow at an 8.65% CAGR through 2031.

Note: Market size and forecast figures in this report are generated using Mordor Intelligence’s proprietary estimation framework, updated with the latest available data and insights as of January 2026.

Segment Analysis

By Product Type: Visualization Equipment Gains Commercial Ground on Hardware

Endoscopes held the largest product type share at 38.31% in 2025, reflecting the central role of flexible colonoscopes and gastroscopes across diagnostic and therapeutic gastrointestinal workflows. Their scale is supported by routine use in screening, surveillance, and intervention, which gives them a broader demand base than any other product group in the gastrointestinal endoscopy devices market. Flexible products remain dominant inside this category, while disposable formats are expanding faster within specific infection-sensitive settings. Operative devices and accessories continue to provide recurring sales, because biopsy forceps, snares, clips, and electrosurgical tools are used across a large installed base and are less exposed to hospital capital delays.

Visualization equipment is projected to record the highest CAGR at 8.38% through 2031, which shows that the current upgrade cycle is increasingly tied to processors, monitors, towers, and software-ready platforms rather than only to scopes. Olympus supported that cycle when it received FDA 510(k) clearance in May 2025 for the EZ1500 series with Extended Depth of Field technology, which improved image sharpness at closer distances and created a practical reason to refresh compatible installed systems. Fujifilm’s ELUXEO 8000 further reinforced the same pattern in 2026 with 4K imaging and Amber-Red Color Imaging aimed at more complex endoscopy work. The commercial appeal is stronger because imaging processors are now increasingly paired with annual AI software licenses, which raises total contract value and keeps customers inside one vendor ecosystem for a longer period.

Gastrointestinal Endoscopy Devices Market: Market Share by Product Type
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Gastrointestinal Endoscopy Devices Market: Market Share by Product Type

By Reusability: Single-Use Expansion Tests the Reusable Installed Base

Reusable endoscopes commanded 80.24% of revenue in 2025, supported by the deep installed base in hospital gastrointestinal labs and the lower cost per procedure that high-volume centers can still achieve with reuse. That installed base remains important because clinicians are familiar with reusable handling, hospitals already own the supporting infrastructure, and many advanced procedures still depend on reusable systems. Even so, the gastrointestinal endoscopy devices market is seeing faster growth in single-use formats where contamination risk is less acceptable or patient profiles are more sensitive. Adoption is strongest in procedures and settings where a reprocessing failure would create disproportionate clinical, financial, or legal exposure.

Single-use endoscopes are projected to grow at a 7.52% CAGR through 2031, and that pace reflects a broader move from narrow rescue use into more regular procurement planning. A 2024 Delphi consensus on disposable endoscopy linked current adoption most clearly to patients with multidrug-resistant organism exposure and noted that broader use will depend on more cost-effectiveness and clinical evidence, which suggests a steady but still selective expansion path. The competitive issue is not limited to disposable versus reusable, because hybrid formats with reusable bodies and single-use distal mechanisms could become an attractive option in medium-volume sites. Micro-Tech also showed continued momentum in disposable and endotherapy-linked innovation with multiple FDA 510(k) clearances through April 2026, which points to a wider accessory and intervention ecosystem developing around less reuse-intensive workflows. As manufacturing scale improves and more procedure types become eligible, the gastrointestinal endoscopy devices market is likely to keep shifting part of infection-control spending away from reprocessing infrastructure and toward device replacement.

By Age Group: Geriatric Demand Underpins Long-Term Volume Growth

Adults captured 65.52% of revenue in 2025, which reflects the large screening and surveillance base in the 45 to 64 age group across major healthcare systems. This segment remains central because organized screening programs, symptomatic workups, and routine surveillance continue to concentrate in adult populations. Pediatric procedures remain smaller in volume, but they require specialized instruments and can still command premium pricing due to design complexity and limited supply. Those characteristics keep pediatric demand important even though it does not set the overall revenue direction of the gastrointestinal endoscopy devices market.

Geriatrics is projected to expand at a 7.25% CAGR through 2031, supported by aging populations in North America, Europe, Japan, and South Korea where procedure intensity rises with age. The effect is not limited to higher case numbers, because older patients often present with more comorbidities, longer procedure times, and greater need for advanced visualization and hemostatic tools. That raises average device value per case and makes the gastrointestinal endoscopy devices market more dependent on products that help with therapeutic complexity rather than only basic imaging. Device design is also adjusting, since frailer patients can benefit from softer insertion tubes, variable stiffness, and water-jet-assisted navigation. In Japan, where the older patient mix is already high, endoscopy capacity planning is increasingly extending beyond tertiary hospitals into community-linked settings, which creates a distinct channel for future equipment placement.

By Application: Therapeutic Endoscopy Outpacing Diagnostics on Growth

Diagnostics accounted for 68.22% of the gastrointestinal endoscopy devices market size in 2025, reflecting the large global volume of colonoscopies, gastroscopies, and other examinations used for screening and gastrointestinal disorder workup. This remains the volume foundation of the category because every screening expansion, symptom referral, and follow-up pathway still begins with diagnostic use. Basic diagnostic kits also tend to be more standardized, which keeps unit economics more stable but limits per-procedure revenue growth. That means the gastrointestinal endoscopy devices market still relies on diagnostic scale for revenue stability even while higher-value growth is shifting elsewhere.

Therapeutics is projected to grow at a 7.15% CAGR through 2031 as more lesions are treated in the same session through polypectomy, EMR, ESD, ERCP, and other advanced techniques. AI-assisted lesion detection strengthens this shift because better detection can lead to more resection activity within the same procedure and higher use of clips, snares, and related tools. The application mix is also broadening into procedures that once sat with surgery or were not treated at all, including POEM, ESD for early gastric cancer, and bariatric endoscopy. Olympus added to that direction in May 2026 when it signed a global distribution agreement with EndoRobotics for robot-assisted technologies linked to third-space endoscopy. CONMED’s exit from gastroenterology in December 2025 also shows that the gastrointestinal endoscopy devices market is becoming harder for mid-tier players that cannot fund the move toward more complex therapeutic capability.

Gastrointestinal Endoscopy Devices Market: Market Share by Application
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By End User: ASCs Redefine the Procurement Model

Hospitals retained a 54.34% share of end-user revenue in 2025 because they remain the main setting for complex therapeutic cases, inpatient gastrointestinal procedures, and patients who need general anesthesia or closer post-procedure monitoring. Their role is still strong in advanced intervention, multidisciplinary care, and high-acuity cases that smaller centers cannot always handle. Specialty clinics and other users continue to serve a growing share of outpatient surveillance work and capsule endoscopy, especially where office-based or community-linked gastroenterology practice is well established. Even with that spread, hospital demand still anchors the installed base across the gastrointestinal endoscopy devices market.

Ambulatory surgery centers are projected to grow at an 8.85% CAGR through 2031, helped by reimbursement support for preventive care and steady investment in new outpatient capacity. This matters because purchasing decisions in these centers are often made by a small physician-led group rather than a large hospital committee, which changes how vendors sell and how quickly equipment decisions move. Evidence and peer referrals therefore carry more weight, and manufacturers with strong clinical support and shorter demonstration cycles can perform better in this channel. ASCA has also pointed to meaningful decade-long growth in adult ASC volume, with gastroenterology among the specialties contributing to that increase. As the customer base broadens, the gastrointestinal endoscopy devices market is becoming less dependent on hospital purchasing consortia and more exposed to site-level buying behavior in outpatient care.

Geography Analysis

North America held 38.22% of the gastrointestinal endoscopy devices market size in 2025, making it the largest regional contributor by revenue. The region benefits from high screening colonoscopy uptake, a mature ambulatory surgery center network, and payer support that increasingly favors preventive gastrointestinal procedures. The United States remains the main national driver because CMS expanded colorectal screening coverage from January 2025 to include CT colonography, blood-based biomarker tests, and Cologuard Plus, which widened the front end of the procedure funnel and preserved follow-on colonoscopy demand after positive results. Canada adds steadier public-system demand as provinces continue to address wait times and capacity needs, while Mexico is benefiting from private healthcare investment in urban markets. The gastrointestinal endoscopy devices market in North America is also being reshaped by physician-led ASC development in states such as Texas, Florida, and Arizona, which is shortening the shift from hospitals to outpatient care and creating a nearer-term replacement opportunity for mid-tier imaging systems.

Europe remains an important source of premium device demand, with Germany, France, and the United Kingdom supporting adoption of next-generation imaging and AI-linked platforms. EU MDR 2017/745 has lengthened market entry requirements for smaller suppliers, but it has also strengthened the position of larger companies that can support broader clinical evidence and post-market surveillance obligations. Italy and Spain are moving ahead with colorectal cancer screening modernization, which should support both colonoscopy volume and demand for single-use accessories over time. Central and Eastern Europe still offer room for penetration as public procurement cycles and healthcare infrastructure investment improve across parts of the region.

Asia-Pacific is projected to grow at an 8.65% CAGR through 2031, which makes it the fastest-growing regional segment in the gastrointestinal endoscopy devices market. Growth is being supported by broader screening efforts in China, India, and South Korea, alongside demand for both premium and value-tier systems as capacity expands across different hospital tiers. Japan remains a structurally important market because aging demographics and the wider use of ESD for early gastric cancer continue to support gastrointestinal endoscopy demand. Middle East and Africa and South America remain smaller, but they are moving along a similar path with a lag as health system modernization and public-private endoscopy expansion gradually improve procedure access.

Gastrointestinal Endoscopy Devices Market CAGR (%), Growth Rate by Region
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Competitive Landscape

The gastrointestinal endoscopy devices market remains moderately concentrated at the premium tier, with Olympus, Fujifilm, and KARL STORZ holding strong positions in imaging systems and scopes, while Boston Scientific remains important in therapeutic accessories and EUS-linked procedures. Leadership in this field comes from installed base depth, imaging quality, regulatory execution, service support, and the ability to bundle software with hardware. Olympus has strengthened that position by extending the EVIS X1 platform with the EZ1500 series endoscopes and then adding the OLYSENSE CAD/AI suite, which helps it build recurring software revenue on top of existing hardware relationships[3]Olympus Corporation, “Olympus Launches OLYSENSE CAD/AI in the US and Europe,” Olympus Corporation, olympus-global.com. That platform approach makes switching harder for hospitals that already rely on one installed ecosystem across imaging, workflow, and service support.

Competitive pressure is becoming more visible in China and other value-sensitive markets, where domestic companies are gaining ground in lower-tier hospitals with lower-priced systems and stronger alignment with local procurement conditions. This is widening the split between premium and value segments rather than creating one uniform competitive field. Olympus acknowledged continued pressure in China in its FY2026 financial disclosures, where regulatory timing for new products weighed on near-term performance even as bidding activity improved. The gastrointestinal endoscopy devices market is also seeing strategic divergence, with larger incumbents leaning further into AI, ecosystem control, and adjacent procedures while smaller or mid-tier players face rising pressure from tenders, group purchasing structures, and the cost of keeping pace with premium innovation. CONMED’s exit from gastroenterology in December 2025 reflects that pressure and shows that product lines without enough differentiation are becoming harder to sustain.

Strategic moves since 2025 show how major companies are trying to widen their position beyond traditional scope sales. Olympus signed a global distribution agreement with EndoRobotics in May 2026 to add robot-assisted capabilities for third-space endoscopy, which points to a more intervention-heavy future for advanced gastrointestinal procedures. Olympus also announced the BioProtect acquisition in May 2026, showing a willingness to use deals to deepen adjacent technology positions and protect long-term account access. Fujifilm, meanwhile, continues to push premium imaging through ELUXEO 8000, which supports its position in centers that are moving toward 4K visualization and higher-complexity endoscopy workflows.

Gastrointestinal Endoscopy Devices Industry Leaders

  1. Olympus Corporation

  2. Boston Scientific Corporation

  3. Fujifilm Holdings Corporation

  4. Medtronic plc

  5. Johnson and Johnson

  6. *Disclaimer: Major Players sorted in no particular order
Gastrointestinal Endoscopy Devices Market
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Recent Industry Developments

  • May 2026: FUJIFILM Healthcare Americas Corporation announced that its ELUXEO 8000 Endoscopic Imaging System coupled with its EG-840TP ultra slim therapeutic gastroscope selected as the winner of the “Best New Endoscopy Technology Solution” award in the 10th annual MedTech Breakthrough Awards program.
  • October 2025: Olympus Canada Inc. (OCI), a player in medical technology for gastrointestinal endoscopy, announced the launch of the EZ1500 series endoscopes featuring Extended Depth of Field (EDOF) technology.

Table of Contents for Gastrointestinal Endoscopy Devices Industry Report

1. Introduction

  • 1.1 Study Assumptions & Market Definition
  • 1.2 Scope of the Study

2. Research Methodology

3. Executive Summary

4. Market Landscape

  • 4.1 Market Overview
  • 4.2 Market Drivers
    • 4.2.1 Rising Colorectal and Gastric Cancer Screening Demand
    • 4.2.2 Rapid Shift Toward Single-Use Endoscopy for Infection Control
    • 4.2.3 AI-Assisted Lesion Detection and Documentation
    • 4.2.4 Expansion of Ambulatory and Outpatient GI Procedure Capacity
    • 4.2.5 Reimbursement Support for Preventive and Early-Detection Procedures
    • 4.2.6 Hidden Backlog From Deferred GI Procedures and Diagnostic Delays
  • 4.3 Market Restraints
    • 4.3.1 High Capital Cost of Capital Equipment and Imaging Towers
    • 4.3.2 Reprocessing Burden and Infection-Control Compliance Costs
    • 4.3.3 Shortage of Skilled Endoscopists and Procedural Support Staff
    • 4.3.4 Pricing Pressure From GPOs, Tenders, and ASP Compression
  • 4.4 Supply Chain Analysis
  • 4.5 Regulatory Landscape
  • 4.6 Technological Outlook
  • 4.7 Porter's Five Forces, Analysis
    • 4.7.1 Bargaining Power of Suppliers
    • 4.7.2 Bargaining Power of Buyers
    • 4.7.3 Threat of New Entrants
    • 4.7.4 Threat of Substitutes
    • 4.7.5 Industry Rivalry

5. Market Size & Growth Forecasts (Value, USD)

  • 5.1 By Product Type
    • 5.1.1 Endoscopes
    • 5.1.1.1 Flexible Endoscopes
    • 5.1.1.2 Rigid Endoscopes
    • 5.1.1.3 Disposable Endoscopes
    • 5.1.2 Visualization Equipment
    • 5.1.3 Operative Devices and Accessories
  • 5.2 By Reusability
    • 5.2.1 Reusable Endoscopes
    • 5.2.2 Single-Use Endoscopes
  • 5.3 By Age Group
    • 5.3.1 Adults
    • 5.3.2 Geriatrics
    • 5.3.3 Pediatrics
  • 5.4 By Application
    • 5.4.1 Diagnostics
    • 5.4.2 Therapeutics
  • 5.5 By End User
    • 5.5.1 Hospitals
    • 5.5.2 Ambulatory Surgery Centers
    • 5.5.3 Specialty Clinics
    • 5.5.4 Other End Users
  • 5.6 By Geography
    • 5.6.1 North America
    • 5.6.1.1 United States
    • 5.6.1.2 Canada
    • 5.6.1.3 Mexico
    • 5.6.2 Europe
    • 5.6.2.1 Germany
    • 5.6.2.2 United Kingdom
    • 5.6.2.3 France
    • 5.6.2.4 Italy
    • 5.6.2.5 Spain
    • 5.6.2.6 Rest of Europe
    • 5.6.3 Asia-Pacific
    • 5.6.3.1 China
    • 5.6.3.2 Japan
    • 5.6.3.3 India
    • 5.6.3.4 Australia
    • 5.6.3.5 South Korea
    • 5.6.3.6 Rest of Asia-Pacific
    • 5.6.4 Middle East and Africa
    • 5.6.4.1 GCC
    • 5.6.4.2 South Africa
    • 5.6.4.3 Rest of Middle East and Africa
    • 5.6.5 South America
    • 5.6.5.1 Brazil
    • 5.6.5.2 Argentina
    • 5.6.5.3 Rest of South America

6. Competitive Landscape

  • 6.1 Market Concentration
  • 6.2 Market Share Analysis
  • 6.3 Company Profiles (includes Global Level Overview, Market Level Overview, Core Segments, Financials as available, Strategic Information, Market Rank/Share, Products and Services, Recent Developments)
    • 6.3.1 Ambu A/S
    • 6.3.2 Becton, Dickinson and Company
    • 6.3.3 Boston Scientific Corporation
    • 6.3.4 CONMED Corporation
    • 6.3.5 Cook Medical, Inc.
    • 6.3.6 Erbe Elektromedizin GmbH
    • 6.3.7 Fujifilm Holdings Corporation
    • 6.3.8 Johnson and Johnson
    • 6.3.9 KARL STORZ SE and Co. KG
    • 6.3.10 Medtronic plc
    • 6.3.11 MICRO-TECH (Nanjing) Co., Ltd.
    • 6.3.12 Olympus Corporation
    • 6.3.13 PENTAX Medical America, Inc.
    • 6.3.14 Richard Wolf GmbH
    • 6.3.15 Smart Medical Systems Ltd.
    • 6.3.16 Stryker Corporation
    • 6.3.17 Teleflex Incorporated

7. Market Opportunities & Future Outlook

  • 7.1 White-Space and Unmet-Need Assessment

Global Gastrointestinal Endoscopy Devices Market Report Scope

As per the scope of the report, gastrointestinal endoscopy devices are specialized medical instruments used to visualize, diagnose, and sometimes treat conditions within the gastrointestinal (GI) tract. These devices typically include endoscopes, flexible or rigid tubes equipped with a camera, light source, and working channels to perform various therapeutic interventions.

The gastrointestinal endoscopy devices market is segmented by product type, reusability, age group, application, end user, and geography. By product type, the market includes endoscopes (flexible endoscopes, rigid endoscopes, and disposable endoscopes), visualization equipment, and operative devices & accessories. By reusability, the market is divided into reusable endoscopes and single-use endoscopes. By age group, the segmentation covers adults, geriatrics, and pediatrics. By application, the market is categorized into diagnostics and therapeutics. By end user, the segmentation includes hospitals, ambulatory surgery centers, specialty clinics, and other end users. By geography, the market is analyzed across North America, Europe, Asia-Pacific, Middle East & Africa, and South America. The market report also covers the estimated market sizes and trends for 17 countries across major regions globally. For each segment, the market size and forecast are provided in terms of value (USD).

By Product Type
EndoscopesFlexible Endoscopes
Rigid Endoscopes
Disposable Endoscopes
Visualization Equipment
Operative Devices and Accessories
By Reusability
Reusable Endoscopes
Single-Use Endoscopes
By Age Group
Adults
Geriatrics
Pediatrics
By Application
Diagnostics
Therapeutics
By End User
Hospitals
Ambulatory Surgery Centers
Specialty Clinics
Other End Users
By Geography
North AmericaUnited States
Canada
Mexico
EuropeGermany
United Kingdom
France
Italy
Spain
Rest of Europe
Asia-PacificChina
Japan
India
Australia
South Korea
Rest of Asia-Pacific
Middle East and AfricaGCC
South Africa
Rest of Middle East and Africa
South AmericaBrazil
Argentina
Rest of South America
By Product TypeEndoscopesFlexible Endoscopes
Rigid Endoscopes
Disposable Endoscopes
Visualization Equipment
Operative Devices and Accessories
By ReusabilityReusable Endoscopes
Single-Use Endoscopes
By Age GroupAdults
Geriatrics
Pediatrics
By ApplicationDiagnostics
Therapeutics
By End UserHospitals
Ambulatory Surgery Centers
Specialty Clinics
Other End Users
By GeographyNorth AmericaUnited States
Canada
Mexico
EuropeGermany
United Kingdom
France
Italy
Spain
Rest of Europe
Asia-PacificChina
Japan
India
Australia
South Korea
Rest of Asia-Pacific
Middle East and AfricaGCC
South Africa
Rest of Middle East and Africa
South AmericaBrazil
Argentina
Rest of South America

Key Questions Answered in the Report

What is the current size of the gastrointestinal endoscopy devices market in 2026?

The gastrointestinal endoscopy devices market stands at USD 22.24 billion in 2026 and is forecast to reach USD 30.70 billion by 2031 at a 6.66% CAGR.

Which product segment leads revenue in gastrointestinal endoscopy devices?

Endoscopes led product revenue with a 38.31% share in 2025 because flexible scopes remain essential across both diagnosis and treatment.

Which product area is growing the fastest through 2031?

Visualization equipment is projected to grow the fastest at an 8.38% CAGR through 2031 as providers upgrade to 4K and AI-ready imaging systems.

Why are single-use endoscopes gaining attention?

They are benefiting from infection-control concerns, reprocessing cost pressure, and demand in higher-risk procedures, which supports a 7.52% CAGR through 2031.

Which end-user setting is expanding the fastest for gastrointestinal procedures?

Ambulatory surgery centers are projected to grow at an 8.85% CAGR through 2031 as preventive care coverage and outpatient capacity continue to expand.

Which region shows the strongest growth outlook through 2031?

Asia-Pacific is forecast to grow the fastest at an 8.65% CAGR through 2031, supported by broader screening activity and rising demand across both premium and value-tier systems.

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