This topic is about a 78-year-old woman who had a colostomy due to a perforation in her sigmoid colon. Her surgeon is considering reversing the colostomy but has mentioned that if there are complications, a temporary ileostomy might be necessary. The family is seeking advice and experiences from others who have been through similar situations. Here are some insights and advice shared by others:

1. **Temporary Ileostomy Considerations**
- A temporary ileostomy is often used to protect a new connection in the colon. It's a common practice, and getting opinions from multiple surgeons can be helpful.

2. **Differences Between Colostomy and Ileostomy**
- Ileostomy output is usually thinner and more frequent, requiring emptying 6-10 times a day, often when you urinate.
- Colostomy output is thicker, and many people use closed bags that are changed 1-3 times daily. Ileostomy users typically need drainable pouches.

3. **Hydration and Diet**
- Staying hydrated is crucial for ileostomy users. Drinking plenty of fluids and adding extra salt to your diet can help prevent dehydration.
- Chewing food well and introducing new foods gradually is important. Fiber can help thicken colostomy output but should be approached with caution after an ileostomy.

4. **Appliance Recommendations**
- Some recommended products include Coloplast SenSura Mio Convex pouches and Hollister convex drainable pouches. These can be worn for several days and are suitable for different stoma profiles.
- Techniques for emptying the pouch vary, and finding a comfortable method is key.

5. **Stoma Characteristics**
- Ileostomy stomas are typically smaller and less prone to prolapse. Loop ileostomies can be more challenging to fit due to their shape, and using convexity or belts can help.

6. **Reversal Considerations and Risks**
- The success rate for certain high-risk reversals can be around 50%. Risks include stricture, blockage, and incontinence, especially if little rectum remains.
- Having most of the colon intact can improve the chances of a successful reversal. Healing can take longer than expected, and patience is often necessary.

7. **Skin Care and Leakage Prevention**
- Liquid output can increase the risk of leaks. Using convex wafers, seals, and belts can help improve wear time and prevent leaks.
- Adequate fluid intake can help manage the consistency of the output and protect the skin.

8. **Professional Support**
- It's important to work with an experienced colorectal surgeon and a specialized nurse for appliance fitting and education.
- Pelvic-floor physiotherapists can provide valuable guidance on Kegel exercises to help reduce the risk of incontinence before and after surgery.