Management of colonic diverticular bleeding: A narrative review with literature search of current evidence and therapeutic strategies

doi:10.3748/wjg.124008

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Dec 7, 2026; 32(45): 124008
Published online Dec 7, 2026. doi: 10.3748/wjg.124008

Table 7 Pooled outcomes from meta-analyses of transcatheter arterial embolization for lower gastrointestinal bleeding

Study/agent	Technical success	Clinical success	30-day rebleeding	30-day mortality	Notes
NBCA embolization (SR/MA, n = 243)	98.8%		15.7%	12.7%	Highest technical success of agent subgroups
Matsumoto et al[10] (NBCA or coils)	91.4%	76.5%	17.1%	11.4%	Major complication 10.0%; LGIB subgroup
Sun et al[11] (n = 58 trials, 3530)	90.4%	73.5%	19.9%	9.6%	Largest meta-analysis to date
Superselective TAE	93.4%		16.9%		vs non-super selective: TS 93.4% vs 85.3%; rebleed 16.9% vs 26.6%
Kitamura et al[36] (n = 132)	72% CTA positive	67% TAE performed	3.4% vs 30% (P < 0.001)	0%	Right-sided TAE particularly effective; no deaths

NBCA: N-butyl cyanoacrylate; SR/MA: Systematic review/meta-analysis; TAE: Transcatheter arterial embolization; CTA: Computed tomographic angiography; LGIB: Lower gastrointestinal bleeding; TS: Technical success.

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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; 32(45): 124008
URL: https://www.wjgnet.com/1007-9327/full/v32/i45/124008.htm
DOI: https://dx.doi.org/10.3748/wjg.124008

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; 32(45): 124008 [DOI: 10.3748/wjg.124008]

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