Jejunal diverticula bleeding: A challenging diagnosis entity

Figure 4 Diagnostic pathways for patients with suspected jejunal diverticular bleeding. For patients without an emergent clinical presentation, in-hospital observation may be adequate. However, in cases of hemodynamic instability or ongoing hemorrhage, expeditious diagnostic assessment based on clinical urgency is imperative. When upper and lower endoscopies are negative, capsule endoscopy has a central role in the study of lower gastrointestinal bleeding. Once the diagnosis is established, endoscopic management should be pursued as the first-line therapeutic approach. U & L: Upper and lower; GI: Gastrointestinal; CT: Computed tomography.