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1.
Sci Rep ; 14(1): 4638, 2024 Feb 26.
Artigo em Inglês | MEDLINE | ID: mdl-38409370

RESUMO

Thermodynamically metastable glasses that can contain metastable species are important functional materials. X-ray absorption near-edge structure (XANES) spectroscopy is an effective technique for determining the valence states of cations, especially for the doping element in phosphors. Herein, we first confirm the valence change of silver cations from monovalent to trivalent in aluminophosphate glasses by X-ray irradiation using a combination of Ag L3-edge XANES, electron spin resonance, and simulated XANES spectra based on first-principles calculations. The absorption edge of the experimental and simulated XANES spectra demonstrate the spectral features of Ag(III), confirming that AgO exists as Ag(I)Ag(III)O2. A part of Ag(I) changes to Ag(III) by X-ray irradiation, and the generation of Ag(III) is saturated after high irradiation doses, in good agreement with conventional radiophotoluminescence (RPL) behaviour. The structural modelling based on a combination of quantum beam analysis suggests that the local coordination of Ag cations is similar to that of Ag(III), which is confirmed by density functional theory calculations. This demonstration of Ag(III) in glass overturns the conventional understanding of the RPL mechanism of silver cations, redefining the science of silver-related materials.

2.
Chem Sci ; 15(3): 964-973, 2024 Jan 17.
Artigo em Inglês | MEDLINE | ID: mdl-38239682

RESUMO

Anion binding and ion pairing of dipyrrolyldiketone PtII complexes as anion-responsive π-electronic molecules resulted in photophysical modulations, as observed in solid-state phosphorescence properties. Modifications to arylpyridine ligands in the PtII complexes significantly impacted the assembling behaviour and photophysical properties of anion-free and anion-binding (ion-pairing) forms. The PtII complexes, in the presence of guest anions and their countercations, formed various anion-binding modes and ion-pairing assembled structures depending on constituents and forms (solutions and crystals). The PtII complexes emitted strong phosphorescence in deoxygenated solutions but showed extremely weak phosphorescence in the solid state owing to self-association. In contrast, the solid-state ion-pairing assemblies with tetraalkylammonium cations exhibited enhanced phosphorescence owing to the formation of hydrogen-bonding 1D-chain PtII complexes dispersed by stacking with aliphatic cations. Theoretical studies revealed that the enhanced phosphorescence in the solid-state ion-pairing assembly was attributed to preventing the delocalisation of the electron wavefunction over PtII complexes.

3.
Phys Chem Chem Phys ; 26(2): 873-878, 2024 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-38087913

RESUMO

Mechanochemical reactions sometimes give different yields from those under solvent conditions, and such mechanochemical reactivities depend on the reactions. This study theoretically elucidates what governs mechanochemical reactivities, taking the Diels-Alder reactions as an example. Applying mechanical force can be regarded as the deformation of molecules, and the deformation in an orthogonal direction to a reaction mode can lower the reaction barrier. Here, we introduce a dimensionless cubic force constant, a mechanochemical reaction constant. It tells us how easily the deformation can lower a reaction barrier and enables us to compare the mechanochemical reactivities of different reactions. The constants correlate positively with the yields of the mechanochemical Diels-Alder reactions.

4.
J Phys Chem Lett ; 14(43): 9706-9712, 2023 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-37877625

RESUMO

The driving force of charge separation in the initial photovoltaic conversion process is theoretically investigated using ITIC, a nonfullerene acceptor material for organic photovoltaic devices. The density functional theory calculations show that the pseudo-Jahn-Teller (PJT) distortion of the S1 excimer state induces spontaneous symmetry-breaking charge separation between the identical ITIC molecules even without the asymmetry of the surrounding environment. The strong PJT effect arises from the vibronic coupling between the pseudodegenerate S1 and S2 excited states with different irreducible representations (irreps), i.e., Au for S1 and Ag for S2, via the asymmetric vibrational mode with the Au irrep. The vibrational mode responsible for the spontaneous polarization, which is opposite in one ITIC monomer and the other, is the intramolecular C-C stretching vibration between the core IT and terminal IC units. These results suggest that controlling the PJT effect can improve the charge separation efficiency of the initial photovoltaic conversion process.

5.
J Phys Chem A ; 127(28): 5790-5794, 2023 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-37409965

RESUMO

Mechanochemical reactions sometimes yield unexpected products or product ratios in comparison to conventional reaction conditions. In the present study, we theoretically reveal the origin of the mechanochemical selectivity by considering the Diels-Alder reaction of diphenylfulvene and maleimide as an example. The application of an external force is equivalent to the production of a structural deformation. Here, we show that a mechanical force applied in a direction orthogonal to the reaction mode can lower the activation barrier by varying the potential energy curvature in the transition state. In the case of the Diels-Alder reaction, the endo-type pathway was found to be more mechanochemically favorable than the exo-type pathway, which is consistent with the experimental observations.

6.
Nat Commun ; 14(1): 4471, 2023 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-37524703

RESUMO

The Jahn-Teller effect, a phase transition phenomenon involving the spontaneous breakdown of symmetry in molecules and crystals, causes important physical and chemical changes that affect various fields of science. In this study, we discovered that localised surface plasmon resonance (LSPR) induced the cooperative Jahn-Teller effect in covellite CuS nanocrystals (NCs), causing metastable displacive ion movements. Electron diffraction measurements under photo illumination, ultrafast time-resolved electron diffraction analyses, and theoretical calculations of semiconductive plasmonic CuS NCs showed that metastable displacive ion movements due to the LSPR-induced cooperative Jahn-Teller effect delayed the relaxation of LSPR in the microsecond region. Furthermore, the displacive ion movements caused photo-switching of the conductivity in CuS NC films at room temperature (22 °C), such as in transparent variable resistance infrared sensors. This study pushes the limits of plasmonics from tentative control of collective oscillation to metastable crystal structure manipulation.

7.
Angew Chem Int Ed Engl ; 62(28): e202302550, 2023 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-36951925

RESUMO

A series of carbazole-dendronized tris(2,4,6-trichlorophenyl)methyl (TTM) radicals have been synthesized. The photophysical properties of dendronized radicals up to the fourth generation were compared systematically to understand how structure-property relationships evolve with generation. The photoluminescence quantum yield (PLQY) was found to increase with the increasing generation, and the fourth generation (G4TTM) in cyclohexane solution showed a PLQY as high as 63 % at a wavelength of 627 nm (in the deep-red region) from the doublet state. The dendron modification strategy also showed a blue-shift of the emission on increasing the generation number, and the photostability was also increased compared to the bare TTM radical.

8.
Chem Sci ; 13(45): 13418-13425, 2022 Nov 23.
Artigo em Inglês | MEDLINE | ID: mdl-36507177

RESUMO

Donor-radical acceptor systems have recently attracted much attention as efficient doublet emitters that offer significant advantages for applications such as OLEDs. We employed an alkylbenzene (mesityl group) as the simplest donor to date and added it to a diphenylpyridylmethyl radical acceptor. The (3,5-difluoro-4-pyridyl)bis[2,6-dichloro-4-(2,4,6-trimethylphenyl)phenyl]methyl radical (Mes2F2PyBTM) was prepared in only three steps from commercially available reagents. A stable radical composed of only one pyridine ring, four benzene rings, methyl groups, halogens, and hydrogens showed fluorescence of over 60% photoluminescence quantum yield (PLQY) in chloroform, dichloromethane, and PMMA. The key to high fluorescence efficiency was benzene rings perpendicular to the diphenylpyridylmethyl radical in the doublet ground (D0) state. The relatively low energy of the ß-HOMO and the electron-accepting character of the radical enabled the use of benzenes as electron donors. Furthermore, the structural relaxation of the doublet lowest excited (D1) state was minimized by steric hindrance of the methyl groups. The reasons for this high efficiency include the relatively fast fluorescence transition and the slow internal conversion, both of which were explained by the overlap density between the D1 and D0 states.

9.
PLoS One ; 17(10): e0276001, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36227895

RESUMO

Switching inhalation devices is a reasonable option if problems with control, adherence, or inhalation technique occur in patients with asthma treated with inhaled corticosteroid (ICS)/long-acting ß2 agonist (LABA). However, evidence to determine the extent to which the carefully monitored period persists after switching is insufficient. In this study, we aimed to investigate the duration of the carefully monitored period after switching to another ICS/LABA. This retrospective study used claims data from Japanese health insurance associations from May 2014 to April 2019. A total of 1,951 patients who switched to another ICS/LABA during the study period were selected for analysis. The relative risk of the first exacerbation after switching was calculated for each four-week interval after the switch compared with that before the switch in a self-controlled case series design. We further assessed patient background associated with exacerbations during the follow-up period. In the primary analysis, the risk of asthma exacerbation compared to the control period was derived from a conditional logistic regression model, which showed a significant decrease immediately after the switch (1 to 4 weeks, Odds ratio [OR] 0.37, 95% confidence interval [CI] 0.26-0.54). Subsequently, the risk increased again and was not significantly different from the control period until week 32 (OR 0.55, 95% CI 0.29-1.04). In a sensitivity analysis among patients with a history of exacerbations, up to week 20 was the period of no continuous risk reduction (OR 0.84, 95% CI 0.41-1.70). In the secondary analysis, chronic rhinosinusitis, sleep disorders, and a history of asthma exacerbation were significantly associated with asthma exacerbation. The incidence of exacerbation remained high for approximately 4 to 7 months after patients with asthma switched to another ICS/LABA. Therefore, these patients should be carefully monitored for at least 4 to 7 months and should be re-assessed at an earlier point in time, if necessary.


Assuntos
Antiasmáticos , Asma , Administração por Inalação , Corticosteroides/uso terapêutico , Agonistas de Receptores Adrenérgicos beta 2/uso terapêutico , Antiasmáticos/uso terapêutico , Asma/tratamento farmacológico , Quimioterapia Combinada , Seguimentos , Humanos , Japão/epidemiologia , Estudos Retrospectivos
10.
J Am Chem Soc ; 143(11): 4329-4338, 2021 03 24.
Artigo em Inglês | MEDLINE | ID: mdl-33721501

RESUMO

The use of organic radicals as building blocks is an effective approach to the production of open-shell coordination polymers (CPs). Two-dimensional (2D) CPs with honeycomb spin-lattices have attracted attention because of the unique electronic structures and physical properties afforded by their structural topology. However, radical-based CPs with honeycomb spin-lattices tend to have low chemical stability or poor crystallinity, and thus novel systems with high crystallinity and persistence are in strong demand. In this study, a novel triangular organic radical possessing three pyridyl groups, tris(3,5-dichloro-4-pyridyl)methyl radical (trisPyM) was prepared. It exhibits luminescence, high photostability, and a coordination ability, allowing formation of defined and persistent 2D CPs. Optical measurements confirmed the luminescence of trisPyM both in solution and in the solid state, with emission wavelengths, λem, of 665 and 700 nm, respectively. trisPyM exhibits better chemical stability under photoirradiation than other luminescent radicals: the half-life of trisPyM in CH2Cl2 was 10 000 times that of the tris(2,4,6-trichlorophenyl)methyl radical (TTM), a conventional luminescent radical. Complexation between trisPyM and ZnII(hfac)2 yielded a single crystal of a 2D CP trisZn, possessing a honeycomb lattice with graphene-like spin topology. The coordination structure of trisZn is stable under evacuation at 60 °C. Moreover, trisZn exhibits luminescence at 79 K, with λem = 695 nm, and is a rare example of a luminescent material among 2D radical-based CPs. Our results indicate that trisPyM may be a promising building block in the construction of a new class of 2D honeycomb CPs with novel properties, including luminescence.

11.
Commun Chem ; 4(1): 168, 2021 Dec 02.
Artigo em Inglês | MEDLINE | ID: mdl-36697743

RESUMO

Anions often quench fluorescence (FL). However, strong ionic hydrogen bonding between fluorescent dyes and anion molecules has the potential to control the electronic state of FL dyes, creating new functions via non-covalent interactions. Here, we propose an approach, utilising ionic hydrogen bonding between urea groups and anions, to control the electronic states of fluorophores and develop an aggregation-induced emission enhancement (AIEE) system. The AIEE ionic hydrogen-bonded complex (IHBC) formed between 1,8-diphenylnaphthalene (p-2Urea), with aryl urea groups at the para-positions on the peri-phenyl rings, and acetate ions exhibits high environmental sensitivities in solution phases, and the FL quantum yield (QY) in ion-pair assemblies of the IHBC and tetrabutylammonium cations is more than five times higher than that of the IHBC in solution. Our versatile and simple approach for the design of AIEE dye facilitates the future development of environment-sensitive probes and solid-state emitting materials.

12.
Phys Chem Chem Phys ; 23(4): 2575-2585, 2021 Feb 04.
Artigo em Inglês | MEDLINE | ID: mdl-33305299

RESUMO

The role of catalyst support and regioselectivity of molecular adsorption on a metal oxide surface is investigated for NO reduction on a Cu/γ-alumina heterogeneous catalyst. For the solid surface, computational models of the γ-alumina surface are constructed based on the Step-by-Step Hydrogen Termination (SSHT) approach. Dangling bonds, which appear upon cutting the crystal structure of a model, are terminated stepwise with H atoms until the model has an appropriate energy gap. The obtained SSHT models reflect the realistic infrared (IR) and ultraviolet-visible (UV/Vis) spectra. Vibronic coupling density (VCD), as a reactivity index, is employed to elucidate the regioselectivity of Cu adsorption on γ-alumina and that of NO adsorption on Cu/γ-alumina in place of the frontier orbital theory that could not provide clear results. We discovered that the highly dispersed Cu atoms are loaded on Lewis-basic O atoms, which is known as the anchoring effect, located in the tetrahedral sites of the γ-alumina surface. The role of the γ-alumina support is to raise the frontier orbital of the Cu catalyst, which in turn gives rise to the electron back-donation from Cu/γ-alumina to NO. In addition, the penetration of the VCD distribution of Cu/γ-alumina into the γ-alumina support indicates that the excessive reaction energy dissipates into the support after NO adsorption and reduction. In other words, the support plays the role of a heat bath. The NO reduction on Cu/γ-alumina proceeds even in an oxidative atmosphere because the Cu-NO bond is strong compared to the Cu-O2 bond.

13.
J Phys Chem B ; 124(44): 9921-9930, 2020 11 05.
Artigo em Inglês | MEDLINE | ID: mdl-33085485

RESUMO

A series of azaperylene derivatives such as monoazaperylene (MAPery), 1,6-diazaperylene (1,6-DiAPery), 1,7-diazaperylene (1,7-DiAPery), 1,12-diazaperylene (1,12-DiAPery), triazaperylene (TriAPery), and tetraazaperylene (TetAPery) was synthesized by changing the position and number of nitrogen atoms at the bay region of a perylene skeleton in 1, 6, 7, and 12 positions. The density functional theory (DFT) calculations and electrochemical measurements suggested that the energies of the highest occupied molecular orbital (HOMO) and lowest unoccupied molecular orbital (LUMO) states significantly become stabilized with increasing the number of nitrogen atoms, whereas the estimated HOMO-LUMO gaps approximately remain constant. This result is in good agreement with the absorption and fluorescence spectral measurements. Additionally, these steady-state spectroscopic measurements demonstrate the broadened spectra as compared to pristine perylene (Pery). In photophysical measurements, the fluorescence quantum yields (ΦFL) significantly decreased as the number of nitrogen atoms increased, whereas much enhanced quantum yields and rate constants of internal conversion (ΦIC and kIC) were observed. Especially, the increased kIC values of TriAPery (kIC: ∼108 s-1) and TetAPery (kIC: ∼109 s-1) are much larger than those of diazaperylene and monoazaperylene derivatives (kIC: ∼107 s-1). These photophysical trends were successfully explained by time-dependent DFT (TD-DFT) calculations. Finally, the characteristic protonated and deprotonated processes of nitrogen atoms in azaperylenes under acidic conditions were monitored utilizing absorption and fluorescence measurements. The binding constants demonstrate that the nitrogen atoms at 1 and 12 positions of a perylene skeleton are essential for the increased values.

14.
Nat Commun ; 9(1): 2314, 2018 06 13.
Artigo em Inglês | MEDLINE | ID: mdl-29899329

RESUMO

Localized surface plasmon resonance (LSPR)-induced hot-carrier transfer is a key mechanism for achieving artificial photosynthesis using the whole solar spectrum, even including the infrared (IR) region. In contrast to the explosive development of photocatalysts based on the plasmon-induced hot electron transfer, the hole transfer system is still quite immature regardless of its importance, because the mechanism of plasmon-induced hole transfer has remained unclear. Herein, we elucidate LSPR-induced hot hole transfer in CdS/CuS heterostructured nanocrystals (HNCs) using time-resolved IR (TR-IR) spectroscopy. TR-IR spectroscopy enables the direct observation of carrier in a LSPR-excited CdS/CuS HNC. The spectroscopic results provide insight into the novel hole transfer mechanism, named plasmon-induced transit carrier transfer (PITCT), with high quantum yields (19%) and long-lived charge separations (9.2 µs). As an ultrafast charge recombination is a major drawback of all plasmonic energy conversion systems, we anticipate that PITCT will break the limit of conventional plasmon-induced energy conversion.

15.
Chem Sci ; 9(7): 1996-2007, 2018 Feb 21.
Artigo em Inglês | MEDLINE | ID: mdl-29675247

RESUMO

Luminescent monoradicals are expected to show unique properties based on their doublet state, where establishing a method to improve their photostability is an important issue for expanding their photofunctionality. We synthesized a highly photostable luminescent organic radical, the bis(3,5-dichloro-4-pyridyl)(2,4,6-trichlorophenyl)methyl radical (bisPyTM), containing two pyridyl groups on a tris(2,4,6-trichlorophenyl)methyl radical (TTM) skeleton. bisPyTM in dichloromethane exhibited fluorescence with an emission peak wavelength, λem, of 650 nm. We visually detected an emission (λem = 712 nm) from crystalline bisPyTM at 77 K, which is the first example of definite solid-state emission in a radical. Introducing the two nitrogen atoms into the TTM skeleton was shown to lower the energies of the frontier orbitals. The oscillator strength, f, of the electronic transition between the lowest excited state and the ground state, and the off-diagonal vibronic coupling constants (VCCs) were calculated theoretically for bisPyTM and the (3,5-dichloro-4-pyridyl)bis(2,4,6-trichlorophenyl)methyl radical (PyBTM). The calculated PyBTM to bisPyTM ratios for f or VCC agreed well with experimental radiative and non-radiative rate constants (kr and knr) ratios, respectively. This study shows that scaled kr and knr can be estimated and compared in this class of radicals using theoretical calculations, greatly advancing the prediction and design of their photofunctionality. The half-life of bisPyTM upon continuous UV light irradiation in dichloromethane was 47 or 3000 times longer those that of PyBTM (which contains one pyridyl group) and TTM (which has no pyridyl rings), respectively. The electrochemical and luminescent properties of bisPyTM were modulated in two stages using protons or B(C6F5)3.

16.
Sci Rep ; 7(1): 4820, 2017 07 06.
Artigo em Inglês | MEDLINE | ID: mdl-28684761

RESUMO

To elucidate the high external quantum efficiency observed for organic light-emitting diodes using a bisanthracene derivative (BD1), non-radiative transition processes as well as radiative ones are discussed employing time-dependent density functional theory. It has been previously reported that the observed high external quantum efficiency of BD1 cannot be explained by the conventional thermally activated delayed fluorescence involving T1 exciton nor triplet-triplet annihilation. The calculated off-diagonal vibronic coupling constants of BD1, which govern the non-radiative transition rates, suggest a fluorescence via higher triplets (FvHT) mechanism, which entails the conversion of a high triplet exciton generated during electrical excitation into a fluorescent singlet exciton. This mechanism is valid as long as the relaxation of high triplet states to lower states is suppressed. In the case of BD1, its pseudo-degenerate electronic structure helps the suppression. A general condition is also discussed for the suppression of transitions in molecules with pseudo-degenerate electronic structures.

17.
Chem Commun (Camb) ; 52(91): 13393-13396, 2016 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-27787527

RESUMO

A rational molecular design for open-shell molecules to enhance their luminescence efficiency was developed. Introduction of fluorine atoms and coordination of gold(i) to PyBTM, a highly stable fluorescent radical containing a pyridyl moiety, synergistically contributed to yield ten times increase of its fluorescence quantum yield (2 → 20%).

18.
ACS Nano ; 10(2): 2930-9, 2016 Feb 23.
Artigo em Inglês | MEDLINE | ID: mdl-26812353

RESUMO

Control of the type and density of charge carriers in graphene is essential for its implementation into various practical applications. Here, we demonstrate the gate-tunable doping effect of adsorbed piperidine on graphene. By gradually increasing the amount of adsorbed piperidine, the graphene doping level can be varied from p- to n-type, with the formation of p-n junctions for intermediate coverages. Moreover, the doping effect of the piperidine can be further tuned by the application of large negative back-gate voltages, which increase the doping level of graphene. In addition, the electronic properties of graphene are well preserved due to the noncovalent nature of the interaction between piperidine and graphene. This gate-tunable doping offers an easy, controllable, and nonintrusive method to alter the electronic structure of graphene.

19.
Gastrointest Endosc ; 84(1): 168-72, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-26808814

RESUMO

BACKGROUND AND AIMS: Endoscopic treatment of anorectal bleeding can be challenging. We report use of the endoscopic over-the-scope clip (OTSC) to treat massive bleeding from the transitional zone of the anorectum. The aim of this retrospective study was to assess the clinical outcome and efficacy of the OTSC and to describe the technique of its use in acute severe bleeding occurring at the transitional zone of the anorectum. METHODS: We treated 5 consecutive patients (age range, 36-79 years, 5 men) with severe bleeding from the transitional zone of the anorectum caused by hemorrhoid therapy, digital trauma, and a Dieulafoy lesion. We analyzed the efficacy, safety, and outcome of endoscopic treatment using the OTSC. RESULTS: Primary hemostasis was successfully achieved in all the patients using a single OTSC. The OTSC deployment technique was adapted from the endoscopic band ligation of hemorrhoids. There was no immediate or late rebleeding. We observed that there were no adverse events from OTSC placement in the anorectum. CONCLUSIONS: This case series provides evidence that OTSCs may be effective in controlling bleeding from the transitional zone of the anorectum. Although use of OTSCs for bleeding elsewhere in the GI tract has been described, this case series is the first to show its application in the transitional zone of the anorectum.


Assuntos
Doenças do Ânus/terapia , Hemorragia Gastrointestinal/terapia , Hemostase Endoscópica/métodos , Instrumentos Cirúrgicos , Adulto , Idoso , Hemorroidas/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Retais/terapia , Estudos Retrospectivos
20.
Clin Gastroenterol Hepatol ; 14(4): 568-74, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26499926

RESUMO

BACKGROUND & AIMS: As many as 50% of large sessile serrated adenomas/polyps (SSPs) are removed incompletely, which is significant because SSPs have been implicated in the development of interval cancers. It is unclear if endoscopic mucosal resection (EMR) is an optimal method for removal of SSPs. We assessed the efficacy and safety of removal of SSPs 10 mm and larger using a standardized inject-and-cut EMR technique. METHODS: We performed a retrospective analysis of colonoscopy data, collected over 7 years (2007-2013) at 2 centers, from 199 patients with proximal colon SSPs 10 mm and larger (251 polyps) removed by EMR by 4 endoscopists. The primary outcome measure was local recurrence. The secondary outcome measure was safety. RESULTS: At the index colonoscopy, patients had a median of 1 serrated lesion (range, 1-12) and 1 nonserrated neoplastic lesion (range, 0-15). The mean SSP size was 15.9 ± 5.3 mm; most were superficially elevated (84.5%) and located in the ascending colon (51%), and 3 SSPs (1.2%) had dysplasia. Surveillance colonoscopies were performed on 138 patients (69.3%) over a mean follow-up period of 25.5 ± 17.4 months. Of these patients, 5 had local recurrences (3.6%; 95% confidence interval, 0.5%-6.7%), detected after 17.8 ± 15.4 months, with a median size of 4 mm. No patients developed postprocedural bleeding, perforation, or advanced colon cancer, or had a death related to the index colorectal lesion during the study period. CONCLUSIONS: Inject-and-cut EMR is a safe and effective technique for the resection of SSPs. Less than 5% of patients have a local recurrence, which is usually small and can be treated endoscopically.


Assuntos
Neoplasias do Colo/cirurgia , Colonoscopia/métodos , Endoscopia/métodos , Pólipos/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Colonoscopia/efeitos adversos , Endoscopia/efeitos adversos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Resultado do Tratamento
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