This topic is about someone who is considering whether to undergo an ileostomy reversal after having emergency surgery for colon cancer. They currently have an end-ileostomy, which means part of their colon was removed, and they are weighing the pros and cons of having the reversal surgery. Here are some of the thoughts and concerns they are grappling with:

- They worry about the possibility of cancer returning after the reversal, which might mean needing another ostomy.
- They are considering whether it's worth trying the reversal just to know they attempted it, similar to how they took a break from chemotherapy to see how it felt.

In a follow-up message, they also mention:

- Concerns about additional scar tissue that could make any future ostomy more complicated.
- Their age, which might slow down the healing process.
- The risk of a leak at the site where the colon would be reconnected.
- After months of indecision, they are leaning towards not having the reversal.

Here are some pieces of advice and insights shared by others:

1. The decision is very personal and should be made with the guidance of a surgeon.
2. Many people prefer to stick with the current situation if the stoma provides a good quality of life, as it avoids the risks and recovery time associated with additional surgery, which can be more challenging as one gets older.
3. A reversal is not a permanent decision; if bowel function becomes too difficult to manage, another ostomy can be created. However, each surgery increases the amount of scar tissue and associated risks.
4. It's important to read the surgical report to understand which parts of the colon were removed, as this affects stool storage and water absorption, influencing bowel function after reversal.
5. Ensure that all cancer has been cleared before considering a reversal, as it should only be done if it is safe from an oncological perspective.
6. Some people choose to keep their stomas and focus on enjoying life, such as taking vacations, rather than undergoing more surgeries.