common marmosets (Callithrix jacchus) are frequently used for biomedical research but gastrointestinal diseases have been major health problems to maintain captive marmosets. We have diagnosed a novel gastrointestinal disease in marmosets, as which we propose to call 'marmoset duodenal dilation syndrome'; this disease is characterised by proximal duodenal obstruction and dilation. this study aimed to reveal the clinical and pathological findings of this syndrome and establish appropriate diagnostic imaging methods. Animals with the syndrome comprised 21.9% of the necropsy cases at the central institute for experimental Animals in Kawasaki, Japan. the syndrome is characterised by clinical signs included vomiting, bloating, and weight loss. Grossly, all diseased animals exhibited significant dilation of the descending part of the duodenum, which contained a mixture of gas and fluid. The duodenal dilations were definitively diagnosed by contrast radiography. Moreover, a combination of plain radiography and ultrasonography was found to be a viable screening method for diagnosing duodenal dilation. the animals with duodenal dilation characteristically showed adhesions between the descending duodenum and ascending colon with chronic peritonitis. the cause of marmoset duodenal dilation syndrome remains unknown, but was likely multifactorial, including peritoneal adhesion, chronic ulcer, and feeding conditions in this study. The common marmoset (marmoset) (Callithrix jacchus), is a New World primate that has been increasing number of used in biomedical and preclinical research in recent years 1-3. Marmosets have several advantages as experimental animals including their small size (300-500 g), easy handling, and relatively rapid generational turnover 1-3. Recent progress in transgenic and genome editing technology has also expanded the research use of marmosets 1,2,4. Gastrointestinal (GI) diseases are major problems to maintain captive marmosets 5-7. Of these, the most important GI disease is Marmoset wasting syndrome (MWS), which is characterised by progressive weight loss, muscle atrophy, alopecia, diarrhoea, and enteritis 5,8,9. Its prevalence has been reported to be as high as 28-60% in captive colonies around the world 5,9. Several aetiologies have been suggested for MWS, including allergic, infectious, and autoimmune, but the exact pathogenesis remains unknown 9-12. On the other hand, acute gastric dilation is well known as a GI disease in some nonhuman primates including marmosets and is characterised by voluminous gas and fluid retention in the stomach, vomiting, collapse, and death 13,14. Herein we describe a novel chronic GI disease with proximal duodenal obstruction and dilation in marmosets. This GI disease is characterised by repetitive vomiting, chronic bloating, and exhaustion, which result from the duodenal dilation and obstruction. This study aimed to (1) reveal the clinical and pathological findings of this novel GI disease, (2) establish a diagnostic imaging method using contrast radiology, and (3) de...