**7. Conclusion**

Small bowel endoscopy is essential for both diagnostic and therapeutic purposes in suspected and confirmed CD. This is particularly valuable for diagnosis when upper endoscopy, ileo-colonoscopy and cross sectional small bowel imaging are non-contributory or non-diagnostic. VCE is useful if there are no obstructive symptoms or known stenosis although DAE guided biopsy is important in scenarios when alternative pathology requires exclusion specially in countries where tuberculosis is endemic. Newer devices like motorised spiral enteroscopy and balloon guided enteroscopy have revolutionised the management of small bowel CD. DAE is be safe and effective in both adults and children with CD. Apart from therapeutic interventions like foreign body retrieval, endoscopic balloon dilatation, stent placement and haemostasis; small bowel endoscopy could be useful in postoperative CD recurrence detection and document mucosal healing and response to therapy.
