Inclusion Criteria:  Patients with small bowel disease with an indication for Motorized spiral enteroscopy and age more than 10 years Overt or obscure Gastrointestinal bleeding Iron deficiency anaemia Chronic diarrhoea Abdominal pain for evaluation with suspected small bowel involvement. IBD requiring small bowel evaluation Polyposis syndrome requiring small bowel evaluation Small bowel subacute obstruction Refractory celiac disease  Exclusion Criteria:  Weight less than 30 kg Large gastric or oesophageal varices Any medical contraindication to standard enteroscopy Any prior history of gastric , small bowel , large bowel surgery Acute obstruction of small bowel Suspected GI perforation Any contraindication for general anaesthesia Lack of informed consent.