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The Outcomes of Management for Colonoscopic Perforation: A 12-Year Experience at a Single Institute.

Ann Coloproctol · 2016 · PMC5108664 · PMID 27847788

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a decreasing trendno p-value reported
Although professionals have achieved more experience in performing the colonoscopic procedure and the incidence of CP has shown a decreasing trend, complications associated with the procedure may be inevitable [ 7 12 ].

also in 47,180 other papers

an increasing trendno p-value reported
The number of colonoscopies performed by gastroen-terologists, trainees, and surgeons showed an increasing trend.

also in 63,971 other papers

Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.