The topic at hand is about transitioning from a loop ileostomy to an end ileostomy and whether the new stoma will be placed in the same spot on the abdomen as the current one. Here are some insights and advice shared on this topic:

- The surgeon mentioned that keeping the loop ileostomy is an option, and recent MRI and pouchoscopy results will be reviewed in the next appointment to help make a decision.
- The GI doctor suggests that an end stoma might be better, but ultimately, the surgeon will decide.
- The person asking has a disconnected J-pouch and a "loose" loop stoma with two openings. They cannot return to using the J-pouch due to previous complications like fistulas and abscesses.
- They are curious about how surgeons close the inactive hole of a loop ileostomy.
- There is still a fistula present after previous treatments, and they are wondering if it will be a permanent issue.

Here are some pieces of advice and insights from others:

1. The location of the new stoma can vary. Some surgeons might keep it in the same spot if there is minimal scar tissue, while others might move it if scar tissue or other factors make it difficult to reuse the same location.
2. Personal experiences shared include:
- In one case, a loop ileostomy was kept in the same location during a J-pouch procedure, but when it was made permanent, the end ileostomy was moved to the opposite side.
- Another person requested to keep their existing loop stoma when it was made permanent, and the surgeon agreed, which helped avoid additional scar tissue and reduced leakage issues.
3. It's important to discuss directly with your stoma nurse and surgeon, as individual anatomy, scar tissue, blood supply, and future surgical options will influence the decision.
4. Sometimes, surgeons leave extra bowel length or a second "closed" opening on a loop ileostomy to keep future options open. Closure might be done internally with staples.
5. Patients often do not choose between a loop and an end ileostomy themselves; surgeons make this decision based on the overall surgical plan and the condition of the remaining bowel or colon.