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Nov 14, 2023

Colonoscopy After Colostomy Reversal - Seeking Experiences and Advice

This topic is about the timing of a colonoscopy in relation to a colostomy reversal, focusing on the risks, the sequence of procedures, and how to cope with any anxiety that might arise. The person sharing their story is preparing for a colostomy reversal after a series of medical events, including the removal of a cancerous polyp and an emergency surgery. They are concerned about the timing of a planned colonoscopy shortly after their reversal surgery and are seeking advice and experiences from others who have been through similar situations.

Here are some helpful insights and advice:

1. Consider asking for a colonoscopy before the reversal:
- Some people have had a colonoscopy or a CT virtual colonoscopy through the stoma or anus a few weeks before the reversal. This approach can reduce the number of procedures needed during recovery and allows any issues to be addressed during the closure.
- The anatomy after a sigmoid resection can make a pre-reversal colonoscopy technically easier for the endoscopist.

2. A split-route colonoscopy can be effective:
- One person shared their experience of having the scope inserted through the stoma to inspect the proximal colon and then through the anus to check the rectal stump. Only a benign polyp was found, and a follow-up CT scan was clear.

3. Follow-up is crucial after a cancerous polyp:
- If a pre-reversal scope isn't possible, accepting the early post-reversal schedule is important, as it is mainly a visual check.

4. Seek multiple opinions and verify hospital infection rates:
- You can always postpone the reversal until you feel confident. It's important to be your own advocate.

5. Utilize support resources:
- Local ostomy association meetings, whether in person or via Zoom, often include WOC nurses who can provide clarity on timing, preparation, and safety.

6. Mental coping strategies:
- Practice "mind over matter" and positive thinking before surveillance tests.
- Recognize that anxiety is normal and focus on the benefits of early detection.
- Simple relaxation rituals, like enjoying a drink or engaging in pleasant activities, can help calm nerves.

7. Readiness is personal:
- Gather all the information you can, weigh the risks versus benefits, and make the decision that feels right for you, rather than relying solely on clinicians or acquaintances.
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