This topic is about a person who recently had a colostomy due to several health issues, including slow-transit constipation and chronic pancreatitis. They are facing challenges with blockages and are scheduled for a stoma revision. They are seeking advice and insights from others who have had similar experiences. Here are some helpful points shared by others:

1. Consider the possibility of a total colectomy if it seems likely in the future. Some people prefer to go straight to this option rather than having multiple surgeries.

2. It's a good idea to get a second opinion, especially from a colorectal motility specialist at a university or research hospital, before deciding on another surgery.

3. Make sure you understand why the revision is needed. If the main issue is motility, a revision might not fully address the problem of blockages.

4. Ask your doctor about additional tests that can pinpoint which parts of the colon are not functioning properly. Ensure all necessary diagnostics are completed.

5. You might want to explore colostomy irrigation to help manage slow output and reduce blockages. If you're not familiar with this, consult a specialist.

6. Recovery experiences can vary. For example, one person shared that their colostomy revision required just an overnight hospital stay and five days off work.

7. Some people with non-functioning rectal muscles have found a total colectomy with a "Ken Butt" (continent perineal closure) to be a long-term solution.

8. Connecting with others who have similar motility issues can provide practical tips and emotional support.