Probe-based Confocal Laser Endomicroscopy (pCLE) is a novel imaging technology that enables real-time in-vivo microscopic visualization of tissue microarchitecture during endoscopy. It is being used to diagnose and treat diseases in the gastrointestinal (GI) tract. This imaging modality is based on laser scanning confocal microscopy, which has been used in research for decades. In pCLE, a thin fiberoptic probe is placed in contact with the tissue to obtain microscopic images. The probe is connected to a light source and a scanning device, allowing the probe to move back and forth, scanning the tissue and generating a microscopic image. The advantages of pCLE over traditional endoscopy are that it can provide real-time images of the microarchitecture of the GI tract, allowing for a more detailed diagnosis and treatment. In addition, the images can be used to detect changes in tissue structure and function, providing further diagnostic information. pCLE can be used for a variety of applications, including the detection of cancer and dysplasia in the GI tract, monitoring of inflammatory bowel disease, and assessment of mucosal integrity. In addition, pCLE can be used to identify and characterize microorganisms, such as Helicobacter pylori, which is associated with gastritis and ulcers. As the technology continues to evolve, pCLE has the potential to revolutionize the diagnosis and treatment of diseases in the GI tract. With its ability to provide real-time microscopic images of the GI tract, pCLE has the potential to transform diagnosis and treatment of GI diseases.