PROBLEM TO BE SOLVED: To provide a guide sheath allowing an operator to directly observe a paranasal sinus, an insertion aid, and an endoscope system.SOLUTION: A guide sheath 33 includes: a body part 331 having a tubular shape and including an inner channel formed thereon, for movably storing an endoscope; and a distal end 331g that is provided at a distal side of the body part 331, communicated to the inner channel 331a, has a distal-side opening 331f for projecting a distal end of the endoscope to the outside, and is formed of an elastic member being deformable by contact with the endoscope, where the distal-side opening 331f is smaller than the outside diameter of the distal end of the endoscope.SELECTED DRAWING: Figure 4COPYRIGHT: (C)2016,JPO&INPIT【課題】副鼻腔を直接観察することができるガイドシース、挿入補助具および内視鏡システムを提供する。【解決手段】ガイドシース33は、管状をなし、内視鏡を移動可能に収容する内部チャンネルが形成された本体部331と、本体部331の先端側に設けられ、内部チャンネル331aと連通し、内視鏡の先端部を外部に突出させるための先端側開口部331fを有し、内視鏡と当接することによって変形可能な弾性部材によって形成されるとともに、先端側開口部331fが内視鏡の先端部の外径より小さい先端部331gと、を備える。【選択図】図4