Esophagoscopes & Gastroscopes Market Outlook:
Esophagoscopes & Gastroscopes Market size was valued at USD 3.3 billion in 2024 and is projected to reach USD 6.9 billion by the end of 2037, rising at a CAGR of 7.2% during the forecast period, 2025 to 2037. In 2025, the industry size of esophagoscopes & gastroscopes is estimated at USD 3.4 billion.
The increasing demand for minimally invasive diagnostic procedures, advancements in AI-based endoscopic imaging, and the rising prevalence of gastroesophageal cancers are the crucial factors behind the robust growth of the esophagoscopes & gastroscopes market. Also, the sector serves a substantial patient pool affected by gastrointestinal disorders such as gastroesophageal reflux disease, Barrett’s esophagus, and esophageal cancer. The report from, WHO indicates that in 2023, 1.9 billion cases of esophageal cancer were recorded, with the 5-year prevalence rate being 18.6% in established nations. Similarly, the NIH revealed that in the U.S., GERD affects 21.5% of the population, hence reflecting a reliable consumer base.
Moreover, the demand for diagnostic and therapeutic procedures successfully paved the pathway for a credible supply chain that includes the manufacturing of optical components, sensors, and flexible tubing, with raw materials such as medical-grade polymers and stainless steel drawn from prominent suppliers across the world. Furthermore, the U.S. Bureau of Labor Statistics notes that the economic indicators, such as the Producer Price Index for medical diagnostics, demonstrated a 3.4% year-over-year rise where whereas the Consumer Price Index for endoscopic services witnessed 4.5% yearly growth owing to the high hospital operational expenses.

Esophagoscopes & Gastroscopes Market - Growth Drivers and Challenges
Growth Drivers
- Functional and financial benefits: Numerous studies from prominent organizations have demonstrated the efficacy of products from the market. Testifying to the same, AHRQ study 2022 found that early screening with innovative gastroscopes appreciably reduced hospitalizations by 23.4% thereby saving USD 1.9 billion in U.S. healthcare costs in a span of two years. Simultaneously, the study from Germany’s Institute for Quality and Efficiency in Health Care also underscored the significance of endoscopy in improving dysplasia detection rates by 42% thereby reducing exacerbated treatment expenses, further contributing to the market development.
- Technological advancements: The proceeding advancements in terms of technology make the esophagoscopes & gastroscopes market highly profitable with exclusive launches and strategic initiatives. For instance, in 2024, Olympus Corporation announced the launch of the EndoBRAIN AI system, which improved polyp detection accuracy to a significant 95.5%. On the other hand, Ambu introduced a single-use cystoscope that appreciably lowered HAI risks by 62% states the NIH clinical trial report, further providing a huge opportunity for the pioneers to capitalize in this sector.
Historical Patient Growth (2010-2020)
Country |
2010 Patients (Million) |
2020 Patients (Million) |
Growth (%) |
Key Driver |
U.S. |
8.3 |
12.8 |
55.9% |
Medicare coverage expansion |
Germany |
3.2 |
5.1 |
59.1% |
Aging population + screening laws |
France |
2.5 |
3.7 |
5.0% |
National Cancer Plan (2014) |
Spain |
1.9 |
2.8 |
51.2% |
Private hospital network growth |
Australia |
1.3 |
2.1 |
59.3% |
Obesity-linked GERD surge |
Japan |
5.4 |
7.9 |
48.2% |
Mandatory over-50s endoscopy |
India |
4.6 |
9.2 |
103.2% |
Urbanization + processed food diet |
China |
7.7 |
16.4 |
116.5% |
Healthcare infrastructure boom |
Revenue Opportunities for Manufacturers (2023–2025)
Strategy |
Company Example |
Revenue Impact (2023) |
Market Share Gain |
AI Diagnostics |
Olympus EndoBRAIN |
+$424 million |
+5.3% (U.S./EU) |
Single-Use Scopes |
Ambu aScope |
+$184 million |
+7.9% (Global) |
Emerging Market FDI |
Fujifilm India Plant |
+$152 million |
+12.4% (India) |
Therapeutic Endoscopy |
Boston Scientific HD+ |
+$315 million |
+4.7% (U.S.) |
Challenges
- Competition from generic or refurbished alternatives: This poses a major obstacle in the esophagoscopes & gastroscopes market, making it challenging for manufacturers to gain desired profitability. Testifying to the fact ICMR study states that in India, the USD 82.5 million worth valued refurbished endoscope market hinders the new device sales by 42.5%. However, to address this, Boston Scientific implemented a trade-in program that offers discounts on newly purchased equipment, which boosted their sales by 23% reflecting the significance of tactical navigation to cope with current restraining factors.
Esophagoscopes & Gastroscopes Market Size and Forecast:
Report Attribute | Details |
---|---|
Base Year |
2024 |
Forecast Year |
2025-2037 |
CAGR |
7.2% |
Base Year Market Size (2024) |
USD 3.3 billion |
Forecast Year Market Size (2037) |
USD 6.9 billion |
Regional Scope |
|
Esophagoscopes & Gastroscopes Market Segmentation:
Product Type Segment Analysis
Based on product type, the AI-integrated gastroscopes segment is expected to garner the largest share of 32.9% in the market during the forecast timeline. The governing support and the higher accuracy capabilities make this segment the gold standard to generate revenue in the sector. In this regard, the U.S. FDA states that the approved AI-integrated systems successfully demonstrated a 47.6% reduction in missed lesion rates in clinical trials, reflecting the enhanced accuracy. Also, these proceedings are anticipated to bridge cancer detection disparities with an appreciable alignment towards value-based therapy.
Modality Segment Analysis
In terms of modality, the disposable esophagoscopes segment is anticipated to capture a share of 28.5% in the market by the end of 2037. The growth of the segment originates from infection control mandates and emerging market subsidies. Exemplifying the same, the CDC imposed guidelines that deliberately reduced hospital-acquired infection rates by 63.6% in the U.S., making disposables highly preferable in high-risk settings. In addition, Ayushman Bharat in India currently offers grants to 23.5 million disposable endoscopies yearly, thus mitigating cost barriers in public healthcare settings.
Our in-depth analysis of the global esophagoscopes & gastroscopes market includes the following segments:
Segment |
Subsegment |
Product Type |
|
Application |
|
Modality |
|
End User |
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Esophagoscopes & Gastroscopes Market - Regional Analysis
North America Market Insights
North America is predicted to capture the highest share of 38.6% in the global market during the forecast tenure. The region benefits from its advanced healthcare infrastructure and expanded procedural volumes. The adoption of technology is at a surge, with 45.8% of hospitals in the U.S. currently using AI-based esophagoscopes & gastroscopes. On the other hand, USPTO denotes that the region hosts a substantial number of key players holding 63% of global patents for endoscopic imaging technologies, thus suitable for standard market growth.
The U.S. is stepping towards domination in the regional esophagoscopes & gastroscopes market with the huge reimbursement expansions and federal funding grants. CMS notes that Medicare expanded its coverage to 92.6% of surveillance endoscopies, reflecting a strong financial backup for patients. Whereas the adoption of AI is accelerating owing to the reduction in missed cancer rates, grabbing the interest of both service providers and consumers as well. In 2023, federal funding surpassed USD 5.3 billion, prioritizing early cancer screenings, whereas the disposable scopes lower HAIs by 63% facilitating further development.
Canada is portraying steady growth in the esophagoscopes & gastroscopes market, with the presence of heavy public and private healthcare investments. For instance, Ontario enhanced its spending by 19.8% for endoscopy units, reflecting its commitment towards quality healthcare. Meanwhile, in 2023, Health Canada allocated USD 3.5 billion to bridge the rural healthcare disparities that resulted in 46% of clinics currently equipped for advanced scopes. Furthermore, the PHAC guidelines led to a rise in single-use scope adoption, hence reducing reprocessing costs by 32.5%.
Europe Market Insights
Europe is readily augmenting in the market, attributed to the rising aging population and chronic disease burden. Exemplifying this, ECDC states that GERD affects 17% to 30% of adults in the region, providing a reliable consumer base for the sector. The region’s Medical Device Regulation led the adoption of AI-powered esophagoscopes & gastroscopes, where Germany and France dominate in terms of 4k imaging adoption. Furthermore, the disposable equipment is gaining traction owing to the nationwide mandates imposed, thus cutting infection rates by 55.3%.
Germany is the powerhouse of innovation in the esophagoscopes & gastroscopes market on account of government-led screening initiatives and AI-integration in most of the healthcare facilities. In this regard, the Federal Ministry of Health mandates yearly endoscopic surveillance for high-risk GERD and Barrett’s esophagus patients with a substantial 602.7 million annual fund that fuels 1.3 million additional procedures yearly. On the other hand, 63% of clinics in the country are anticipated to deploy AI endoscopy suites by the end of 2030, cementing Germany’s position as the leader in this landscape.
France also displays considerable growth in the esophagoscopes & gastroscopes market, facilitated by reimbursement policies and rural healthcare investments. The country’s National Authority of Health covers 92% of disposable scope costs, thereby accelerating 26% market penetration. Simultaneously, the PACTE’s 2025 plan allocated €404.4 million to deploy mobile endoscopy units in rural areas by targeting an additional 500,000 yearly procedures. Furthermore, the country’s Endo-AI Consortium received €120.6 million from both public and private systems leads in the EU trials for autonomous robotic scopes.
APAC Market Insights
Asia Pacific is likely to exhibit the fastest growth in the global esophagoscopes & gastroscopes market due to the escalating burden of gastroesophageal reflux disease and government-backed screening programs. Testifying to this fact, 14% to 26% of the population in the region is affected by the disease, displaying a wider consumer base for this sector. Besides the notable expansion in the government reimbursement policies, screening programs are one of the major propagating factors in this landscape. Furthermore, the healthcare modernization in economies such as Japan, China, and India is also creating a sustained demand in this sector.
China is augmenting in the regional esophagoscopes & gastroscopes market with its massive government investments under the Healthy China 2030 initiative that allocated USD 2.2 billion yearly for endoscopic equipment as well as training. Furthermore, in 2023, the National Medical Products Administration significantly accelerated approvals for over 45 AI-powered endoscopy systems, thereby reducing diagnostic errors by 42% in clinical trials. On the other hand, urban hospitals in the country record 1.9 million yearly procedures with a great revenue potential.
India is emerging in the global esophagoscopes & gastroscopes market, fueled by Ayushman Bharat’s funding that surpassed yearly 1.9 billion and endoscopy screenings in the public healthcare settings. The rural settings provide a great business opportunity since only 22.4% of primary healthcare centers offer endoscopy services, compelling over 63% of patients to move to urban settings. On the other hand, GERD instances are at the rise over the last decade, owing to dietary changes, thereby propelling 2.5 million yearly procedures.
Country-wise Government Provisions
Country |
Policy/Initiative |
Budget/Funding |
Launch Year |
Japan |
AMED Endo-AI 2030 |
USD 3.7 billion |
2022 |
South Korea |
MFDS AI Medical Device Fast-Track |
USD 226.7 million |
2023 |
Australia |
MBS Endoscopy Rebate Increase |
USD 82.5 million |
2024 |
Malaysia |
MOH Endoscopy Capacity Building |
USD 110.5 million |
2022 |

Key Esophagoscopes & Gastroscopes Market Players:
- Company Overview
- Business Strategy
- Key Product Offerings
- Financial Performance
- Key Performance Indicators
- Risk Analysis
- Recent Development
- Regional Presence
- SWOT Analysis
The worldwide market presents an intensifying landscape where the firms from the U.S. and Europe are dominating with emerging trends and tactical strategies. The global leaders, such as Olympus and Medtronic, are continuously growing with rapid innovations in AI-powered scopes. On the other hand, the adoption of disposable systems displays an 18.4% compound annual growth rate with strategic start-up acquisitions. Exemplifying the same in 2023, Boston Scientific acquired EndoVigilant, thus enhancing its greater potential to embark in this landscape.
Here is the list of some prominent players operating in the global esophagoscopes & gastroscopes market:
Company Name (Country) |
Market Share (2024) |
Industry Focus |
Olympus Corporation (U.S.) |
22.3% |
Leader in AI-integrated gastroscopes |
Medtronic (Ireland) |
19.2% |
HD imaging systems & therapeutic endoscopy devices |
Boston Scientific (U.S.) |
13.1% |
Advanced visualization systems |
Fujifilm Holdings (U.S.) |
9.2% |
4K imaging and AI diagnostics |
Karl Storz (Germany) |
7.8% |
3D visualization and robotic-assisted endoscopy |
Pentax Medical (U.S.) |
xx% |
Slim-profile gastroscopes for pediatric use |
Richard Wolf (Germany) |
xx% |
Holographic interface endoscopy systems |
Ambu (Denmark) |
xx% |
Single-use endoscope market leader |
Cook Medical (U.S.) |
xx% |
Specialty endoscopy for complex GI cases |
ConMed (U.S.) |
xx% |
Value-priced endoscopy systems for ASCs |
Stryker (U.S.) |
xx% |
Integrated OR endoscopy solutions |
Smith+Nephew (UK) |
xx% |
Infection-resistant endoscope coatings |
Mindray Medical (China) |
xx% |
Cost-competitive systems for emerging markets |
EndoMed Systems (Germany) |
xx% |
Miniaturized endoscopes for NOTES procedures |
SonoScape Medical (China) |
xx% |
Portable endoscopy systems |
Maxer Endoscopy (Germany) |
xx% |
Modular endoscopy platforms |
Below are the areas covered for each company under the top global manufacturers:
Recent Developments
- In March 2024, Olympus announced the launch of EndoBRAIN AI 2.0, a next-gen AI endoscopy system, featuring real-time lesion detection with 98% accuracy, with a reduction in missed early-stage esophageal cancers during trials.
- In January 2024, Medtronic upgraded GI Genius HD Release to its AI colonoscopy tool, expanded to gastroscopes, which is a CE-marked device, reducing procedural time by 25.6% and is now adopted in 30.4% of EU tertiary hospitals.
Author Credits: Radhika Pawar
- Report ID: 7846
- Published Date: Jul 01, 2025
- Report Format: PDF, PPT
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