Scoping review: autonomous endoscopic navigation

This is a scoping review of artificial intelligence (AI) in flexible endoscopy (FE), encompassing both computer vision (CV) and autonomous actions (AA). While significant progress has been made in AI and FE, particularly in polyp detection and malignancy prediction, resulting in several available market products, these achievements only scratch the surface potential of AI in flexible endoscopy. Many doctors still do not fully grasp that contemporary robotic FE systems, which operate the endoscope through telemanipulation, represent the most basic autonomy level, specifically categorized as level 1. Although these console systems allow remote control, they lack the more sophisticated forms of autonomy. This manuscript aims to review the current examples of AI applications in FE and hopefully act as a stimulus for more advanced AA in FE.