A portable hand-held endoscopy system adapted for interchangeable use with a variety of endoscopes. The system includes an endoscope having a first end and a second end, the first end having an eyepiece and the second end having a viewing end, the endoscope further having a coupler for coupling to a light source and a battery operated unitary digital camera having an optical input, viewing screen, digital signal processor, memory with embedded software for processing data from the processor and for displaying an image on the viewing screen, and a coupler having a first end and a second end, wherein the first end includes a connector for removably connecting to the eyepiece, and the second end is coupled to the optical input of the digital camera. The video display is rotatable and pivotable about several different axes of rotation and a pivot point spaced distally from the main camera body. An ergonomic camera housing is provided, including a bulbous gripping region and two opposing forefinger accepting regions, facilitating a trigger-like grip and use of the camera by a physician. Redundant controls for moving video and still image capture facilitate ease of use by the physician as the camera and associated endoscope are held in a variety of orientations.
