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Small Bowel Endoscopy

Published: August 9, 2026Updated: August 17, 2026

A small bowel endoscopy is a procedure that examines the middle part of your digestive tract using a flexible camera scope. During this test, your doctor either uses a thin, lighted tube with a camera or has you swallow a pill-sized camera that takes detailed pictures of your small intestine, helping find the cause of symptoms like unexplained bleeding, abdominal pain, or digestion problems.

Quick summary

{"A small bowel endoscopy examines the middle section of your intestines","It helps diagnose unexplained bleeding, pain, or suspected small bowel diseases","The procedure may use a camera capsule you swallow or a flexible scope"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
111830-6
Short code
SBOWELENDO
Synonyms
Background information SB Endscpy
Category
cardiac
Sample
serum
Container
Not applicable - this is a procedural/narrative report
Units
N/A
Ref low
22
Ref high
198
Critical range
— – 10000 N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 18 years
Method
endoscopy
CPT
45378
SNOMED
73761001
Specimen volume
Not applicable
Stability
Not applicable
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
24–72 hours
Order
routine

What is a Small Bowel Endoscopy?

A small bowel endoscopy, also called enteroscopy, is a medical procedure that allows doctors to examine the small intestine - the long tube-like organ between your stomach and large intestine. This test uses a thin, flexible tube with a camera and light at its tip (endoscope) to capture images of your small bowel's inner lining.

How is the Procedure Performed?

There are two main types of small bowel endoscopy: (1) Capsule endoscopy - you swallow a small pill-sized camera that takes thousands of pictures as it passes through your digestive system; (2) Device-assisted enteroscopy - a flexible scope is inserted through your mouth or rectum and guided through the small bowel. Your doctor will determine which method is best based on your symptoms.

How to Prepare

Preparation typically involves fasting for 12 hours before the procedure. Your doctor may also prescribe a bowel preparation solution to clean your intestines for better visualization. Follow all specific instructions provided by your healthcare team.

Reference range

Adult males: 22-198 U/L; Females: 22-198 U/LN/A

Specimen: serum

Patients typically require bowel preparation as per endoscopy protocol. Specific preparation instructions should be provided by the ordering physician. Maintain usual medications unless otherwise instructed.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A small bowel endoscopy is crucial for diagnosing conditions that cannot be found by standard upper endoscopy or colonoscopy. It helps identify sources of unexplained gastrointestinal bleeding, detect inflammatory bowel disease, find tumors or polyps in the small intestine, and investigate causes of chronic abdominal pain or malabsorption. This procedure enables doctors to not only visualize abnormalities but also perform biopsies or treatments during the examination.

Frequently asked questions

Is small bowel endoscopy painful?
Most patients experience minimal discomfort. Sedation or anesthesia is typically provided during the procedure. For capsule endoscopy, you may feel some initial sensations when swallowing the capsule, but it is generally well-tolerated.
How long does the procedure take?
Capsule endoscopy takes about 8 hours as the capsule passes through your system. Device-assisted enteroscopy typically takes 1-2 hours, depending on how far into the small bowel the scope needs to travel.
What are the risks?
Complications are rare but may include capsule retention (the capsule doesn't pass naturally), intestinal tears, bleeding, or reaction to sedation. Your doctor will discuss specific risks based on your health condition.
When will I get my results?
Results are usually available within a few days to a week after the procedure. Your doctor will schedule a follow-up appointment to discuss the findings and any necessary treatment options.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy