This topic is about someone who has an ileostomy located high on their abdomen and is facing the need for gallbladder removal due to gallbladder dysfunction. They are concerned about how the surgery might affect their stoma and are seeking advice from others who have been through similar experiences. Here are some helpful insights and advice:

1. The stoma is positioned well above the navel on the right side, close to where the gallbladder is located. This can raise concerns about surgical access.

2. The person has experienced post-operative ileus before, where the bowel temporarily stopped working, requiring an NG tube to relieve stomach pressure. They are worried about this happening again.

3. It is important to communicate with the surgeon about these concerns, especially the desire to stay in the hospital until the stoma is functioning properly.

4. Laparoscopic or robotic gallbladder removal typically involves small incisions, and most surgeons can work around a high stoma.

5. Many people with ileostomies have undergone gallbladder surgery without stoma-related complications, often being discharged the same day or the next.

6. The risk of ileus is generally low with laparoscopic surgery, but if you are prone to it, discuss this with your surgeon. You can request a plan for extended observation and NG decompression if necessary.

7. Scar tissue or adhesions might require additional or slightly larger incisions, but recovery is usually straightforward.

8. Bring extra ostomy supplies to the hospital in case your appliance needs to be removed or adjusted during surgery or recovery.

9. After gallbladder removal, expect changes in output, such as looser and more frequent stools, until bile flow stabilizes. A temporary low-fat diet is often recommended, and you should ask if any other dietary changes are needed due to the ileostomy.

10. For reassurance, some people have shared photos showing incision placement relative to a high stoma. This can help visualize what to expect.