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S172 – Total colectomy with mucosal proctectomy with ileal pouch, ileoanal anastomosis and loop ileostomy

OHIP Digestive System Surgical Procedures Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

This is a complex surgical procedure involving: • Total colectomy: Removal of the entire large intestine (colon). • Mucosal proctectomy: Removal of the inner lining (mucosa) of the rectum while preserving the outer muscular wall and sphincter muscles. • Ileal pouch creation: Construction of a reservoir (pouch) from the end of the small intestine (ileum). • Ileoanal anastomosis: The newly created ileal pouch is connected to the anal canal. • Loop ileostomy: A temporary external opening (stoma) is created to divert fecal matter, allowing the ileoanal anastomosis to heal.
All insured services must be documented in the patient's medical record, including an operative report for surgical procedures.

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