Global Colonoscopes Market Size, Trend & Opportunity Analysis Report, by Type (Video Colonoscopes, Fibre Optic Colonoscopes), Procedure Type (Diagnostic, Therapeutic), and Forecast, 2024–2035

Market Definition and Introduction

The global colonoscopes market was valued at USD 2.40 billion in 2024 and is anticipated to reach USD 6.19 billion by 2035, expanding at a CAGR of 9.00% during the forecast period (2024–2035). With increasing penetration of screening programs for colorectal cancer, accompanied by heightened expectations for premature diagnosis, the colonoscope has become an indispensable instrument enabling access to preventive, effective healthcare strategies instead of a mere diagnostic tool. State-of-the-art colonoscopy devices, equipped with state-of-the-art imaging systems, high-definition visibility, and artificial intelligence-enabled detection of lesions, will redefine clinical practice and the outcomes of patients with colonic disorders. This phenomenon is not only propelled by innovation but also heavily weighed down by the urgency of addressing the increasing incidence of colorectal diseases in both developed and developing healthcare systems. The increasing push towards minimising the invasiveness further propelled this pace by increased investment by hospitals and speciality clinics in new-generation colonoscopes to enhance efficiency and precision in procedures.

Healthcare policy reforms are also integral in defining the course of markets, as are government-backed initiatives around preventative health care. Structured national screening programs, implemented in such countries as the U.S., Japan, and many European nations, create a consistent procedural demand for equipment into which the rapid advances will be fed, thus accelerating equipment replacement cycles. Rapid uptake is also experienced in other parts of the Asia-Pacific, where developing health infrastructure is coupled with an increasing incidence of gastrointestinal diseases, providing the impetus for tapping into new markets. Emerging technologies-such as those engendered by AI-enabled polyp detection and robotic colonoscopy-enabled access, followed by wireless capsule endoscopy- are ever-expanding boundaries beyond those characteristics generally accepted for colonoscopes, to eventually ignite a rethinking of how screening and intervention can be performed.

On the supply side, manufacturers worldwide are in strategic competition to fuse better ergonomic design and greater manoeuvrability with the best optics into devices that reduce physician fatigue and maximise the diagnostic yield. The competitive landscape is marked by active R&D investments targeting flexible, patient comfort-focused solutions, along with innovations that streamline workflow integration into hospital electronic systems. Sustainability in device production and reprocessing-those derived from the compulsion of compliance requirements in regulatory legislation and infection control mandates-are also fast becoming a competitive differentiator. Hence, manufacturers are encouraged to commit investment resources to ecologically friendly manufacturing processes and more advanced sterilisation-compatible materials. Therefore, the market for colonoscopes is characterised not only by expansion but also by redefining procedural experiences for both patients and clinicians.

Recent Developments in the Industry

Olympus has initiated real-time polyp identification using an AI-enhanced video colonoscope.

Olympus Corporation launched the new-generation EVIS X1 platform colonoscope in March 2024, integrating AI software that will simultaneously recognise polyps with procedures to enable earlier removals and minimise missed-lesion rates.

Fujifilm commissions modern endoscopic innovation hub in Japan.

Fujifilm Holdings Corporation commenced a new R&D establishment in August 2024 for next-generation colonoscope development on ultra-thin insertion tubes and higher resolution imaging for patient comfort level improvement.

Boston Scientific acquires AI-enabled endoscopy startup to enhance its colonoscope portfolio.

The acquisition occurred in January 2025, when Boston Scientific Corporation took over EndoVision AI with the intention of installing high-level algorithms of image analysis into its systems for colonoscopy.

Karl Storz significantly widens its capabilities at the German facility, producing premium colonoscopes.

In April 2024, Karl Storz SE & Co. KG disclosed an expansion of its Tuttlingen location by investing several million euros into rising demand from Europe and export markets by equipping the facility with new production lines, which come together with an assembly facility for precision optics.

Medtronic clears the FDA for its robotic-assisted colonoscopy system.

Medtronic plc announced in June 2023 that the FDA had approved the Hugo™ robotic-assisted system that utilises colonoscopy procedures, promising superior navigation and a shorter time for the procedure.

Market Dynamics

Colonoscopes are propelled globally by screening programs and preventive initiatives in health care.

The rise of colorectal cancer screening programs in various countries increased procedural volumes, especially in developed countries with healthcare systems emphasising early intervention. Public awareness is at an all-time high, coupled with mandates set by the government. This will ensure continued demand for video and fibre optic colonoscopes.

Improved diagnostic efficacy and procedural efficiency with newer technologies.

Recent advancements as high-definition optics, narrow-band imaging, and even artificial intelligence-assisted detection-are sweeping in to overhaul colonoscopy results. Not only improved in the detection of lesions, but it also streamlines the work process so people require less to engage on that end, benefiting patients with increased adoption in both hospital and outpatient settings.

Emerging markets present new opportunities even as incidences of GI diseases increase.

Colorectal cancer and inflammatory bowel disease cases are rising in many of the Asia-Pacific, African, and Latin American countries and the Middle East. They are tapping into the potential offered by expanding healthcare infrastructure and government-led screening programs. This development would open possibilities for high growth for global manufacturers to create local production or distribution networks.

High equipment costs and infrastructure inhibit the adoption of organisations in low-income regions.

Colonoscopes are undeniably crucial in modern gastroenterology, but high acquisition and maintenance costs limit their penetration into resource-poor health systems. Meanwhile, a shortage of trained endoscopists in certain regions also poses a major bottleneck for widespread adoption.

Sustainability and compliance with infection control have redefined device manufacturing.

Increasingly too, with efficiency in reprocessing and green supplements to how reusable devices are manufactured and materials that can withstand upgraded sterilisation procedures, are some of the points that are becoming fundamental in procurement decisions in the developed healthcare markets.

Attractive Opportunities in the Market

AI-Driven Detection Growth – Integration of artificial intelligence tools to improve lesion recognition and screening accuracy.
Robotics in Endoscopy – Robotic-assisted colonoscopes to enhance navigation, precision, and procedural comfort for patients.
Emerging Market Expansion – Rising adoption in Asia-Pacific, Latin America, and the Middle East healthcare infrastructure upgrades.
Single-Use Innovations – Development of disposable colonoscopes to reduce infection risk and streamline reprocessing.
High-Definition Imaging Demand – Advanced optics and enhanced visualisation for superior diagnostic performance.
Preventive Care Investments – Government programs fund mass screenings to reduce colorectal cancer mortality rates.
Ergonomic Design Enhancements – Lighter, flexible colonoscopes to reduce physician strain during prolonged procedures.
Eco-Friendly Manufacturing – Adoption of sustainable materials and production processes to meet green healthcare mandates.
Hybrid Diagnostic Platforms – Integration of colonoscopy with capsule endoscopy and virtual imaging technologies.
Tele-Endoscopy Solutions – Remote-assisted colonoscopic procedures for rural and underserved regions.

Report Segmentation

By Type: Video Colonoscopes, Fibre Optic Colonoscopes

By Procedure Type: Diagnostic, Therapeutic

By Region: North America (U.S., Canada, Mexico), Europe (UK, Germany, France, Spain, Italy, Spain, Rest of Europe), Asia-Pacific (China, India, Japan, Australia, South Korea, Rest of Asia-Pacific), LAMEA (Brazil, Argentina, UAE, Saudi Arabia (KSA), Africa Rest of Latin America)

Key Market Players

Olympus Corporation, Fujifilm Holdings Corporation, Boston Scientific Corporation, Karl Storz SE & Co. KG, Pentax Medical (HOYA Group), Medtronic plc, Stryker Corporation, Cook Medical LLC, Richard Wolf GmbH, and ConMed Corporation.

Report Aspects

Base Year: 2024
Historic Years: 2022, 2023, 2024
Forecast Period: 2024-2035
Report Pages: 293

Dominating Segments

Video colonoscopes are the primary market product due to superior imaging and favourable expert preference.

Video colonoscopes have emerged rapidly as the gold standard in colorectal diagnostics due to highly advanced visualisation, better manipulation, and integration with AI-supported detection systems. These devices dramatically increase the rate of polyp detection and procedural effectiveness, making them increasingly favoured in both developed and developing health systems. Hospitals are actively replacing older fibre optic models to comply with the revised quality and safety standards, lending further strength to the pole position in this segment.

Diagnostic procedures are leading in global procedural volume, thanks to far-reaching screening programs.

Worldwide, diagnostic colonoscopies are the backbone of all colorectal cancer prevention strategies. Governments and healthcare providers put massive resources into mass screening programs, given that the early detection of cancer is crucial in determining patient survival rates. This segment receives consistent demand due to technological improvements that decrease procedural time, enhance patient comfort, and improve diagnostic accuracy.

Fibre optic colonoscopes maintain a very niche position in resource-limited environments.

Though video colonoscopes grabbed the larger share of the market, the utility of the fibre optic kind continues in areas where the budget constrains access to more advanced technology. Such colonoscopes remain relevant, considering their durability, low maintenance costs, and basic imaging qualities-suited for use in rural health centres, community hospitals, or as training aids.

The therapeutic colonoscopy segment grows due to changes made toward minimally invasive intervention.

During colonoscopy, therapeutic procedures such as polypectomy, hemostasis, or stricture dilation are being performed more routinely. Enhanced therapeutic techniques with advanced accessory instrumentation and high-performance working channels available on new colonoscopes enable clinicians to perform increasingly complex interventions that could only be done in the past with open surgery. As a result of the ongoing trend toward cost-effective minimally invasive treatments, this is likely to accelerate.

Key Takeaways

Video Colonoscopes Lead – High-definition imaging and AI integration make them the preferred diagnostic tool.
Diagnostic Dominance – Early detection initiatives drive high procedural demand worldwide.
Therapeutic Growth – Minimally invasive interventions expand colonoscopy’s scope beyond diagnostics.
Emerging Market Surge – Infrastructure development fuels adoption in Asia-Pacific and LAMEA.
AI-Powered Screening – Artificial intelligence enhances accuracy and reduces missed lesions.
Robotic-Assisted Navigation – Precision navigation improves procedural efficiency and reduces physician fatigue.
Single-Use Trend – Disposable colonoscopes gain traction for infection control compliance.
Sustainability Push – Eco-friendly materials and processes shape procurement choices.
Hybrid Platforms – Integration with capsule endoscopy broadens diagnostic coverage.
Government Funding Boost – Screening subsidies expand access in middle-income nations.

Regional Insights

North America is by far the largest market for colonoscopes on account of its well-established screening programs and its innovation adoption in this field.

The U.S. occupies the helm concerning regional demand arising from its universal guidelines on colorectal cancer screening, with an exceptionally high level of awareness among the populace on the subject. Reimbursement frameworks are very strong, with the extensive networks of highly skilled gastroenterologists and the much-accelerated adoption of AI-assisted detection, thus cumulatively favouring the increased use of this technology. Major market players in the region will utilise their huge R&D.

Europe possesses a wide array of advanced imaging and sustainable device manufacturing.

Europe is well placed to develop green colonoscope production processes with stringent regulatory frameworks such as MDR and a strong emphasis on green manufacturing. Nationally, these countries are widely adopting HD and AI-enabled systems, while further expansion of screening programs continues to increase procedural volumes.

Asia-Pacific is the fastest-growing region in terms of the increase in GI disease prevalence.

China, Japan, and India are experiencing rapidly growing demands on the back of demographic shifts and government-backed screening campaigns. Coupled with expanding healthcare infrastructure, this is going to accelerate the localisation of production by global brands, thus speeding up advanced video colonoscope adoption, most especially in urban health care centres.

Gradual uptake exhibited in the LAMEA market is induced by infrastructural improvements and training programs.

Much slower than elsewhere in the world, Latin America and the Middle East are catching up on incorporating colonoscopy into preventative health care frameworks. Increasing healthcare capacity through investment and entering into international partnerships for training endoscopists is just starting to show increased procedural volumes.

Core Strategic Questions Answered in This Report

Q. What is the expected growth trajectory of the colonoscopes market from 2024 to 2035?

The global colonoscopes market is projected to grow from USD 2.40 billion in 2024 to USD 6.19 billion by 2035, registering a CAGR of 9.00%. This growth is driven by expanding screening programs, rising colorectal cancer incidence, and the adoption of advanced imaging technologies, alongside increased investment in AI-assisted and minimally invasive endoscopy solutions.

Q. Which key factors are fuelling the growth of the colonoscopes market?

Several key factors are propelling market growth:

Rising demand from national colorectal screening programs and preventative healthcare initiatives
Transition toward high-definition, AI-integrated colonoscopy systems
Increased R&D investments in ergonomic, sustainable, and single-use devices
Growth of therapeutic colonoscopy applications
Government and NGO-led awareness campaigns boosting procedural adoption

Q. What are the primary challenges hindering the growth of the colonoscopes market?

Major challenges include:

High acquisition and maintenance costs for advanced colonoscopy systems
Limited availability of trained gastroenterologists in certain regions
Stringent regulatory pathways delaying new product approvals
Slow adoption in low-income economies due to infrastructure gaps
Infection control and device reprocessing complexities in high-volume centres

Q. Which regions currently lead the colonoscopes market in terms of market share?

North America currently leads the colonoscopes market due to strong screening infrastructure, technological adoption, and robust reimbursement policies. Europe closely follows with leadership in sustainable manufacturing and eco-compliant device innovation.

Q. What emerging opportunities are anticipated in the colonoscopes market?

The market is ripe with new opportunities, including:

Expansion of AI-integrated colonoscopy platforms
Growth of robotic-assisted navigation in endoscopic procedures
Rising adoption in emerging markets with expanding healthcare infrastructure
Advancements in single-use colonoscopes for infection control
Tele-endoscopy innovations improving access in underserved areas

Key Benefits for Stakeholders

The report offers a quantitative assessment of market segments, emerging trends, projections, and market dynamics for the period 2024 to 2035.
The report presents comprehensive market research, including insights into key growth drivers, challenges, and potential opportunities.
Porter's Five Forces analysis evaluates the influence of buyers and suppliers, helping stakeholders make strategic, profit-driven decisions and strengthen their supplier-buyer relationships.
A detailed examination of market segmentation helps identify existing and emerging opportunities.
Key countries within each region are analysed based on their revenue contributions to the overall market.
The positioning of market players enables effective benchmarking and provides clarity on their current standing within the industry.
The report covers regional and global market trends, major players, key segments, application areas, and strategies for market expansion. Show more