This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Small & Large Intestine, Subject name: Surgery
[{'content': "After subtotal colectomy for toxic megacolon in CD, lowest recurrence is with: \nSelect and explain. \nA. Complete proctectomy with Brooke ileostomy, B. Ileorectal anastomosis, C. Koch's pouch, D. IPAA", 'role': 'user'}, {'content': "Answer: A \nExplanation: Ans. (a) Complete proctectomy with Brooke ileostomy* Creation of Kock's continent ileostomy pouch is not done nowadays.* Brooke's ilesotomy is the done commonly in emergency cases after total colectomy and proctectomy.", 'role': 'assistant'}]