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Jul 14, 2024

Discussing Colostomy Reversal - Experiences and Advice

This topic is about someone who is considering whether to undergo a colostomy reversal after having emergency surgery. The surgery was necessary due to a perforated colon and severe constipation issues. Now, a few months into living with a colostomy, the person is feeling better than they have in decades, but they are unsure about going through another major surgery to reverse it. Here are some points to consider:

1. The decision to reverse a colostomy is very personal and can vary greatly from person to person. Important factors include how much of the colon and rectum remain and the original cause of bowel issues. It's crucial to have a detailed discussion with a surgeon about the specifics and the likelihood of success before making a decision.

2. If the colostomy has resolved chronic constipation, reversing it might bring back the problem, especially if the original issue was related to colonic inertia or another motility disorder.

3. Some people choose not to have a reversal because they are doing well with their ostomies and want to avoid another major surgery. This is a completely valid choice.

4. There are cases where people have had successful colostomy reversals, particularly when there was no prior bowel dysfunction and the baseline motility was normal.

5. For more personal stories and experiences, there is a link to a forum discussion where others have shared their journeys.

6. It's important to weigh the quality-of-life benefits of the current stoma against the risks of surgery, the recovery time, and the potential return of constipation.
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