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Publication Name World Journal of Gastroenterology
Manuscript ID 124008
Country Libya
Category Gastroenterology & Hepatology
Manuscript Type Systematic Reviews
Article Title Management of colonic diverticular bleeding: A narrative review with literature search of current evidence and therapeutic strategies
Manuscript Source Unsolicited Manuscript
All Author List Abdelwahap elghezewi, Marwan Aljahani and Mustafa ben Khayal
Funding Agency and Grant Number
Corresponding Author Abdelwahap elghezewi, Academic Fellow, FACG, FACP, Department of Gastroenterology, Marshall University, 249 15th St, Huntington, WV 25701, United States. elghezewia@marshall.edu
Key Words Colonic diverticular bleeding; Lower gastrointestinal bleeding; Endoscopic band ligation; Transcatheter arterial embolization; Oakland score; Computed tomographic angiography; Over-the-scope clip; Antithrombotic therapy; Risk stratification; Colonic diverticulosis
Core Tip Colonic diverticular bleeding (CDB) is the leading cause of acute lower gastrointestinal bleeding in Western populations, yet management remains inconsistently applied. This review synthesizes current evidence across the full CDB care pathway from risk stratification using the Oakland score to endoscopic, radiologic, and surgical decision-making. Endoscopic band ligation outperforms clipping for hemostasis, transcatheter arterial embolization achieves high technical success, and early antithrombotic resumption reduces mortality without excess rebleeding. A practical, evidence-based framework is provided to guide clinicians toward more standardized, outcome-driven care.
Citation Elghezewi A, Aljahani M, Ben Khayal M. Management of colonic diverticular bleeding: A narrative review with literature search of current evidence and therapeutic strategies. World J Gastroenterol 2026; In press
Received
2026-06-04 02:00
Peer-Review Started
2026-06-04 02:01
First Decision by Editorial Office Director
Return for Revision
2026-06-25 03:04
Revised
2026-06-28 15:17
Publication Fee Transferred
2026-07-07 01:51
Second Decision by Editor
2026-09-17 02:42
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-09-17 09:28
Articles in Press
2026-09-17 09:28
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 1007-9327 (print) and 2219-2840 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com