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The Close Relationship between Large Bowel and Heart: When a Colonic Perforation Mimics an Acute Myocardial Infarction.

Case Rep Surg · 2018 · PMC6079430 · PMID 30123608

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a decreasing trendno p-value reported
As endoscopists have gained increased experience performing the procedure, the incidence of colonoscopic complications shows a decreasing trend [ 1 ].

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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.