الفهرس 
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Abstract
This study we conducted on 30 patients complaining of mesenteric vascular occlusion who were admitted to General Surgery department in Assiut University Hospitals over span of one year (from December 2017 to December2018) The age of the studied patients was rang from 40to 70 years old. With 22(73,34%) of 30 patients are males and 8 (26.67%)females. 10 (33.3%) of the studied patients had hypertension and 6 (20%)haddiabetes and7 (23.3%) had cardiac risk factors for mesenteric vascular occlusion. 17 (56.6%) of studied patients were arterial occlusion and about 11 (36.6%) of studied patients were venous occlusion and about 2 (6.6%) of the studied patients were mixed arterial and venous. 13 (43.3%) of studied patients were managed as conservative treatment byanti-coagulant without surgery and about 17 (56.6%) were managed by surgical intervention either resection and anastomosis or stoma. 3 (10%) of the studied patients were managed surgically by resection and anastomosis and about 14 (46.6%) of the studied patients were managed surgically by stoma. When we compared our department management to the guidelines, it was observed that MDCT abdomen with angiography was done in every patient suspect mesenteric vascular occlusion. Fluid resuscitation with crystalloid and blood products was done for every patient. Assessment of electrolyte levels and acid–base status. Assessment of electrolyte levels and acid–base status. Broad-spectrum antibiotics was administered immediately. If there is peritonitis urgent laparotomy and exploration for asses the intestine and resection of the gangrenous part of the intestine and anastomosis or stoma was done. Mesenteric venous occlusioncan often be successfully treated with a continuous infusion ofanti-coagulant (unfractionated heparin)