Inclusion Criteria:  Age 18 years and older Patients with suspected small bowel pathology indicated for diagnostic and/or therapeutic enteroscopy based on clinical presentation, small bowel imaging, or video capsule enteroscopy Written informed consent  Exclusion Criteria:  Contraindications for endoscopy because of comorbidities Unable to provide written informed consent Patients with known severe gastrointestinal tract inflammation, intestinal obstruction, gastroesophageal varices or eosinophilic esophagitis that preclude a safe enteroscopy procedure Coagulopathy or thrombocytopenia that could not be corrected by blood product transfusion Pregnant patients Health status: American Society of Anesthesiologists (ASA) class >3 Inability to tolerate Propofol sedation or general anesthesia for any reason