| The single balloon scope can be inserted into the deep small bowel by manipulating the balloon on the distal end of the overtube and the angulation mechanism of the scope. First insert the scope deeply and grasp the intestinal tract by angulating the scope’s distal end. Next, deflate the balloon on the overtube‘s distal end, advance the overtube and then inflate the balloon. Then relase the angulations and withdraw the overtube to shorten the proximal small intestine and further straighten it distal to the overtube. If during this ree lumen is observed, try to simultaneously push the scope further down into the small intestine.
1. Insert the scope as deep as possible into the small bowel and fix the angulation of the scope.
2. Advance the overtube.
3. Inflate the balloon.
4. Withdraw the overtube and if possible, try to push the endoscope simultaneously. |
