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Mar 31, 2015

Unexpected Outcome: Colostomy to Ileostomy Transition

This topic is about a situation where someone expected to have a colostomy reversal but ended up with an ileostomy instead. This change was due to complications like heavy adhesions and scar tissue. The doctors have mentioned the possibility of another reversal in about three months, but the person is understandably upset and unsure about the next steps. The family is reaching out to find others who have experienced something similar.

Here are some helpful insights and advice from others who have been through this:

- An ileostomy typically results in more frequent and less solid output compared to a colostomy, which can be more challenging to manage initially.

- Many people advise that three months might be too soon for a safe reversal of a new ileostomy. It's often better to wait 6 to 12 months to allow the body to heal and regain strength.

- Personal experiences vary, but here are a couple of timelines shared:
1. One person waited a full year before having their ileostomy successfully reversed. After the reversal, they recovered quickly, walking within days, feeling normal within a week, and returning to normal life by three months.
2. Another person needed about five months to heal after the unexpected ileostomy. They then had additional surgery and finally achieved a successful reversal about a year after the initial attempt.

- Several factors can influence the success of a reversal:
1. The reason for the original colostomy, such as infection, diverticulitis, or strictures, plays a significant role in determining the timing and outcome of a reversal.
2. Choosing an experienced colorectal surgeon is crucial.
3. A thorough pre-operative evaluation, including procedures like colonoscopy, flexible sigmoidoscopy, ultrasound, and lab work, can improve the chances of a successful reversal.
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