الفهرس 
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Abstract
Introduction: Mesenteric vascular Ischemia is referred to as circulatory insufficiency that deprives one or several abdominal organs from adequate blood supply which affects their metabolic state. Early diagnosis and treatment remains the keystone for improving the outcome of the disease. The treatment of mesenteric vascular ischemia without evidence of intestinal gangrene by conservative treatment with anticoagulant as low molecular weight heparin in early stages of the disease before gangrene occurrence in addition to close clinical observation for fever, abdominal tenderness, bowel motion and leukocyte count. The Aim of this study: The aims of this prospective study were; To compare between primary anastomosis and diverting ileostomy as regards operative time, early post-operative complications as intestinalleakage or complications of stoma creation as retraction, prolapse ,or gangrene, and mortality. To determine thepatient’s safety with each technique and the impact on the patient’s quality of life. Materials and methods: This was a prospective, randomized comparative study. it involvedall eligible 100 patientswith mesenteric vascular gangrene who were admitted to Mansoura university emergency hospital fulfilling the inclusion criteria of the study. It was conducted in the period from November 2016 till November 2019. The study popu1ation was random1y distributed into 2 groups by computer generating program. group A: (50) Patients with anastomosis. group B: (50) Patients with ileostomy. Results: from this study we concluded that ileostomy is better than anastomosis in cases suffering from mesenteric vascular gangrene.