This study delves into the intricate dynamics of fluid behavior within a peristaltic flow tube, specifically tailored for endoscopic applications. We examine the multifaceted influence of several critical factors, such as magnetic fields, porous media properties, heat transfer, chemical reaction ,slip conditions, and solid particles, on this fluid's flow. To simplify our analysis, we employ long-wavelength and low Reynolds number approximations to our mathematical models. Our findings are communicated through visual representations, illustrating their effects on key flow characteristics, including axial velocity, pressure gradients, heat transfer profiles, concentration profiles, and streamlines Our research not only deepens our understanding of peristaltic flows but also provides valuable insights to improve fluid transport in medical endoscopy, ultimately enhancing patient care and medical procedures. It is worth mentioning that as the magnetic field strength increases, the fluid velocity decreases. Conversely, when the pressure difference and particle velocity increase, and the couple stress parameters decrease, they boost fluid flow and lower the pressure difference.