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This review summarizes recent therapeutic BAE advances, focusing on three major indications: small bowel vascular lesions, hereditary polyposis syndromes, and Crohn's disease (CD). For suspected small bowel bleeding from vascular lesions, morphological classification guides lesion\u2010specific hemostasis\u2014primarily using argon plasma coagulation and clipping\u2014while gel immersion endoscopy helps secure the visual field. In hereditary polyposis syndromes (e.g., Peutz\u2013Jeghers syndrome and familial adenomatous polyposis), endoscopic ischemic and cold snare polypectomy prevent intussusception and reduce cancer risk, decreasing surgical needs. Additionally, endoscopic balloon dilation is an established bowel\u2010preserving treatment for fibrotic CD strictures, reducing surgical resection and short bowel syndrome risk. 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