Advanced Science 2026
Fig. 1 from Li et al., Advanced Science (2026), DOI: 10.1002/advs.76800. CC BY 4.0.This review examines gastrointestinal capsule robots from a systems engineering perspective, connecting material selection and fabrication with actuation, localization, diagnosis, and therapy. It surveys rigid, soft, biodegradable, and responsive shells; passive and actively controlled locomotion; and approaches to sampling, sensing, imaging, and targeted treatment. The review also considers clinical translation and commercialization, identifying limitations in energy supply, navigation, actuation, and system integration. These challenges frame future development of capsule robots for autonomous navigation, multimodal diagnosis, and precision therapy within the gastrointestinal tract.