Interim report of a randomized cross-over study comparing clinical performance of novice trainee endoscopists using conventional air insufflation versus warm water infusion colonoscopy.

BACKGROUND The applicability of water method colonoscopy in trainee education is not known. AIM To compare the water method vs. usual air method in teaching novice trainee colonoscopy. METHOD An IRB approved prospective randomized cross-over study (NCT01482546) in a university setting with diverse patient population. DESIGN Three first year GI fellows consented to participate in the study. Trainees were randomized to learn with either usual air method or the water method in performing colonoscopy with a dedicated endoscopy attending during their weekly outpatient endoscopy clinics for the initial six months of training and then cross-over to the other method for the remaining six months. PATIENTS Patients undergoing screening, surveillance or diagnostic colonoscopy. RESULTS The interim data revealed no significant difference in age, gender, and body mass index (BMI). Trainees rated the water method colonoscopy as significantly easier to learn compared to the air method (p=0.007). CONCLUSIONS The interim data demonstrate positive effects of using the water method in training novice endoscopists who reported a significant ease of learning colonoscopy using this method. Training programs could consider joining us in evaluating the use of warm water infusion in colonoscopy education.