A new alternative to diverting double barreled ileostomy.

A new diverting ileostomy is described which avoids the attendant problems associated with the previously described "loop ileostomy," and other described-ileostomies used in conjunction with ileoanal pull-through procedures. The ileostomy result is a functionally superior stoma, similar to that of the standard Brooke ileostomy, and requires only a local exploration for takedown. Initial experience with the procedure has been uniformly excellent and would support wider use of the "close loop" double barreled ileostomy.