Endoscope and method for inserting endoscope into colon
A first bendable section which can be bent in an arbitrary direction and a second bendable section which can be bent in the bending direction of this first bendable section are provided at the tip end side of an insertion portion. A balloon which is inflated/contracted by feed/discharge of a fluid is provided in this second bendable section so that hardness of this second bendable section can be varied and insertion work into a curved portion is facilitated.
1. A method for inserting an endoscope into a colon, the endoscope comprising:
an insertion portion having a tip end side portion and a rear end side portion, the insertion portion comprising:
a flexible tube portion provided at the rear end side portion of the insertion portion,
a first bendable section selectively bent in a bending direction operated by a bending direction operation section, the first bendable section being provided at the tip end side portion of the insertion portion and formed by rotatably connecting a plurality of bending pieces along a longitudinal direction of the insertion portion,
a second bendable section provided between the flexible tube portion and the first bendable section, and formed by rotatably connecting a plurality of bending pieces along the longitudinal direction of the insertion portion, and
hardness varying means for varying the hardness of the second bendable section relative to the hardness of the flexible tube portion and the first bendable section, the hardness varying means including:
a balloon tube having at a tip end thereof an inflatable balloon, and
a tube into which the balloon tube is inserted such that the balloon is located within a range where the second bendable section is provided, the tube being provided in the longitudinal direction of the insertion portion, and a tip end of the tube being fixed, in a closed state, to the tip end side portion of the insertion portion, and
a base fixing section provided in a vicinity of a base end of the endoscope, and detachably connected to a fluid supply device for supplying a fluid, the base fixing section fixing a rear end of the balloon tube in an open state inside a rear end of the tube,
the method comprising steps of:
causing the first bendable section to reach a descending colon;
increasing the hardness of only the second bendable section relative to the hardness of the flexible tube portion and the first bendable section by supplying the fluid from the fluid supply device to the balloon; and
making a sigmoid colon portion straight by twisting and pulling the insertion portion after the hardness of only the second bendable section is increased and inserting the insertion portion into the colon.
2. The method according to claim 1 , further comprising a step of
pushing in the insertion portion while bending the first bendable section in the vicinity of a splenic flexure portion.
3. The method according to claim 2 , further comprising a step of
decreasing the hardness of the hardness varying means and pushing in the insertion portion when the insertion portion is to be inserted into the depth of a transverse colon.
4. The method according to claim 3 , further comprising a step of
increasing the hardness of the hardness varying means and pushing in the insertion portion when the insertion portion is to be further inserted into the further depth of a transverse colon.
5. The method according to claim 4 , further comprising a step of
increasing the hardness of the hardness varying means and pushing in the insertion portion in the vicinity of a hepatic flexure portion.
6. The method according to claim 5 , further comprising a step of
decreasing the hardness of the hardness varying means and pushing in the insertion portion when the insertion portion is inserted into the depth of the ascending/descending colon.
7. The method according to claim 1 , wherein the tube and the balloon tube are inserted through the insertion portion, the operation portion at the rear end of the insertion portion, and a universal cord extended from the operation portion, and the base fixing section located at the rear ends of the tube and of the balloon tube is provided in a connector provided at an end portion of the universal cord.