This topic revolves around the decision of whether to undergo an ileostomy reversal at the age of 70, especially after experiencing severe post-operative complications. The person in question had emergency surgery for a bowel blockage three years ago, resulting in an ileostomy. A year later, an attempt to reverse it was halted due to a massive infection and significant blood loss. Now, with only a rectal stump remaining, the surgeon suggests a second reversal is possible but warns of a lengthy recovery and frequent bowel urgency. The individual is seeking advice on whether the reversal is worth pursuing.

Here are some insights and advice shared by others who have faced similar situations:

1. Age and overall health are important, but not the only considerations.
- One person, aged 61, was advised against reversal due to the surgery's intensity and now lives comfortably with an ileostomy.
- Another, who had successful surgeries at 62, believes age alone shouldn't be a barrier but warns of frequent bowel movements post-reversal.

2. Personal surgical history and tolerance should guide the decision.
- A 49-year-old with extensive surgical history chose not to reverse, opting instead for hernia repair and stoma resiting to avoid further disability and incontinence.
- Someone who spent significant time in ICU and rehab decided against further major surgery due to the risks involved.

3. Lifestyle considerations are crucial.
- Reversals are often seen as a quality-of-life choice since living healthily with an ileostomy is possible.
- Expect 6–12 months for bowel function to stabilize, with frequent and urgent bathroom needs.
- Issues like liquid stool, weakened sphincter muscles, and nighttime leakage are common, especially with age.
- A strict diet may be necessary after reversal.
- Living with an ileostomy avoids risks of leakage, incontinence, dietary restrictions, and potential further surgeries.

4. Medical guidance and preparation are essential.
- Seek multiple opinions from colorectal surgeons with reversal experience, not generalists.
- Consult reputable sources and speak with nurses experienced in ostomy care.
- Diabetics should anticipate slower healing.
- Some choose to remove the rectal stump permanently to eliminate cancer risk if not reversing.

5. Emotional and psychological factors play a role.
- Many report feeling relieved and experiencing an improved quality of life after accepting a permanent stoma rather than undergoing repeated surgeries.