This topic is about making a decision between two surgical options for reversing an ileostomy. After undergoing emergency surgeries due to ischemic bowel, the person is considering either creating a J-pouch or performing an ileocolic anastomosis. They are concerned about how these options will affect their bowel movements, particularly in terms of frequency and consistency. Here are some insights and advice shared by others who have faced similar decisions:

- After reversal, many people experience frequent bowel movements, sometimes 10-12 times a day, and may have accidents at night. This can make planning daily activities and travel challenging.

- With a significant portion of the colon removed, the remaining descending colon might not absorb enough water, leading to loose stools. This is a common issue even with an ileocolic anastomosis.

- An external ileostomy pouch can offer more predictability and ease in monitoring output, which can be beneficial for daily life and travel.

- Internal pouches, like a J-pouch, can sometimes develop complications such as infections or leaks, especially if the small bowel has a high output.

- When deciding, it's important to have detailed discussions with surgeons about the long-term functionality and potential complications of each option.

- Engaging with others who have undergone similar surgeries can provide valuable real-world insights. Participating in support forums can be helpful in gathering experiences and advice.