“Acute mesenteric ischemia (AMI) is a rare but catastrophic abdominal vascular emergency associated with a daunting mortality comparable to myocardial infarction or cerebral stroke. Mesenteric vein thrombosis (MVT) is the least common form, accounting for 6% to 9%, of AMI, mainly involving the superior mesenteric vein (SMV). Despite the lack of specific biomarker and insidious symptomatology profile, incidence of acute superior mesenteric venous thrombosis (ASMVT) has been increasing worldwide due to the raised awareness
as well as widespread use of contrast-enhanced computed tomography (CT) portography, which facilitates early diagnosis with sensitivity of over 90%.”

“In this pilot study, the multidisciplinary and stepwise management strategy is proven effective in achieving early recanalization and avoiding intestial failure for ASMVT in an intergrated ISC. Based on a single-center experience, this life- and bowel-saving strategy could significantly improve the outcome of ASMVT patients with early recognition, pragmatic management algorithm, proficient endovascular therapy skills, advanced hybrid surgical facilities, and a focusing treatment protocol around intestinal viability salvage.”

Yang, Shuofei et al. “Multidisciplinary stepwise management strategy for acute superior mesenteric venous thrombosis: an intestinal stroke center experience.” Thrombosis research vol. 135,1 (2015): 36-45.