This topic is about someone who had emergency colostomy surgery due to a severe diverticulitis attack, which led to complications like sepsis and an abscess. A significant portion of their colon was removed, resulting in extensive internal scarring. The surgeons have described this case as particularly severe, and any potential reversal of the ostomy is expected to be very complicated. The person is understandably anxious about the possibility of more surgery and is seeking advice from others who might have faced similar situations.

Here are some insights and advice shared by others:

1. Deciding between a reversal and a permanent stoma is a deeply personal choice. It's important to consider whether a reversal will address the underlying health issue or simply restore bowel function.

2. If the original health problem, such as a prolapsed anus or a chronic condition, is likely to persist or return after a reversal, keeping the stoma might help avoid further surgeries and symptoms. For example, a prolapsed anus might still be an issue but could be less problematic with a stoma.

3. Some people who have undergone a reversal, such as after colorectal cancer, report mixed experiences. While generally manageable, there can be moments of regret during difficult times. It's helpful to weigh the pros and cons and understand that both options can be adapted to with the right mindset and support.

4. A member shared their experience with a failed J-pouch after a total colectomy, which led to chronic intestinal pseudo-obstruction. They are now considering surgery at a specialized center to return to a permanent end ileostomy. This highlights that reversals can sometimes lead to new, severe issues, and complex cases might require treatment at specialized centers.