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
After subtotal colectomy for toxic megacolon in CD, lowest recurrence is with: 
Select and explain. 
A. Complete proctectomy with Brooke ileostomy, B. Ileorectal anastomosis, C. Koch's pouch, D. IPAA
A: Complete proctectomy with Brooke ileostomy
Answer: A: Complete proctectomy with Brooke ileostomy 
Explanation: 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.