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©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jan 28, 2026; 32(4): 114842
Published online Jan 28, 2026. doi: 10.3748/wjg.v32.i4.114842
Published online Jan 28, 2026. doi: 10.3748/wjg.v32.i4.114842
Colonic diverticular hemorrhage: Etiology, diagnostic challenges, and evolving therapeutic strategies
Yi-Qing Hui, Chuan Tong, School of Nursing, Jilin Medical University, Jilin 132000, Jilin Province, China
Zhi-Xuan Wang, Chun-Xi Wang, Department of Gastric and Intestinal, General Surgery Center, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China
Chun-Xi Wang, Department of Urology, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China
Co-corresponding authors: Chun-Xi Wang and Chuan Tong.
Author contributions: Hui YQ conducted the comprehensive literature search, organized relevant references, and drafted the initial version of the manuscript; Wang ZX contributed to the critical analysis of gastrointestinal surgical literature and assisted in refining the clinical perspectives; Wang CX conceptualized the review, supervised the overall work, and provided critical revisions for important intellectual content; Tong C participated in data organization, figure preparation, and assisted in manuscript editing; Wang CX and Tong C made equal contributions as co-corresponding authors. All authors contributed to the intellectual development of the review, read, and approved the final version of the manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chun-Xi Wang, Professor, Department of Urology, The First Hospital of Jilin University, No. 1 Xinmin Street, Changchun 130021, Jilin Province, China.
Received: September 29, 2025
Revised: November 1, 2025
Accepted: November 28, 2025
Published online: January 28, 2026
Processing time: 115 Days and 6 Hours
Revised: November 1, 2025
Accepted: November 28, 2025
Published online: January 28, 2026
Processing time: 115 Days and 6 Hours
Core Tip
Core Tip: Colonic diverticular hemorrhage is a leading cause of acute lower gastrointestinal bleeding, especially prevalent in aging populations with diverticulosis. Its pathogenesis involves multiple factors, diagnosis relies on colonoscopy and computed tomography angiography, and therapeutic advances including endoscopic band ligation, transcatheter em