Rapid large-area tissue imaging at the cellular resolution is important for clinical diagnosis. We present a probe-based confocal microendoscope (pCM) with a field-of-view (FOV) diameter over 500 μm, lateral resolution of 1.95 μm, and outer diameter of 2.6 mm, compatible with the biopsy channel of conventional gastroscopes. Compared to a conventional pCM, our system’s FOV increased by a factor of 4 while maintaining the probe size and cellular resolution—comparable to the FOV of Zeiss Axio Observer’s
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numerical aperture objective lens. Ex vivo imaging of wide areas in healthy and diseased rat gastrointestinal tract tissues demonstrates the system’s practicality.