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Mar 07, 2024

Ileostomy Reversal After 7 Years: Is It Possible?

This topic is about someone considering the possibility of reversing an ileostomy that has been in place for seven years. They are curious if such a reversal is medically feasible and are seeking hope and support, partly due to a partner's negative reaction to the stoma.

Here are some insights and advice shared by others:

1. For a reversal to be possible, there needs to be enough remaining colon or at least a rectal stump, and the original condition, like inflammatory bowel disease, should be under control. However, the longer the bowel has been inactive, the riskier it can be to "re-start" it.

2. It's crucial to have a comprehensive surgical assessment. Only a consultant who reviews your scans, operative notes, and current health can give you an idea of the chances of success.

3. There are real-world examples where people have successfully reconnected after many years. One person managed a successful reconnection after 10 years, although they initially faced some urgency issues that eventually became manageable.

4. Recovery from major surgery can take up to two years, especially as we age. It's important to consider this when thinking about a reversal.

5. Do thorough research and consider all factors, such as your remaining anatomy, underlying disease, lifestyle, age, healing time, and potential complications. Make sure your decision is based on your well-being, not someone else's discomfort.

6. Remember that issues with self-esteem related to weight or having a stoma bag do not diminish your personal worth. Ensure that any decision you make is for your own benefit.

7. Some people find that a reversal is not the best solution. For instance, one person lived with a J-pouch for 18 challenging years before choosing a permanent ileostomy and felt much better afterward.

8. If a partner's negative reaction is the main reason for considering surgery, it might be worth reconsidering the relationship rather than undergoing major surgery for cosmetic reasons.

9. Gather experiences from others and ask detailed questions about their reasons for the original surgery, their lifestyle during the stoma years, and the length of their remaining bowel to better predict potential outcomes.
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