FAQs
What is an ostomy reversal?
An ostomy reversal, also known as a takedown, is a surgical procedure to reconnect the digestive tract after a temporary ostomy (colostomy or ileostomy) has been created. The goal is to restore normal bowel function.
Is an ostomy reversal always possible?
No. Reversal depends on several factors, including the health of the remaining bowel, the patient’s overall health, and the reason the ostomy was initially created. The surgeon will determine if a reversal is feasible.
Who performs the ostomy reversal surgery?
The surgery is typically performed by a colorectal surgeon or a general surgeon who specializes in intestinal procedures.
How do I schedule a consultation for a reversal?
To discuss a potential reversal, you should schedule a consultation with a surgeon.
PreSurgery: What tests are needed before a reversal?
The surgeon will order tests to ensure the remaining colon or rectum is healthy and free of strictures or blockages. Common tests include a contrast study (like a barium enema) and sometimes a colonoscopy or flexible sigmoidoscopy.
How long must I wait after the initial ostomy surgery before a reversal?
The timing varies, but it is typically at least 3 months after the initial surgery to allow for adequate healing and recovery. Your surgeon will advise you on the appropriate timeframe based on your specific case.
Where is the surgery performed?
The surgery is typically performed in a hospital setting at a surgical center.
How long does the operation usually take?
The procedure typically takes 1 to 3 hours, but this can vary depending on the complexity and any unexpected findings.
How long is the expected hospital stay?
Most patients stay in the hospital for 3 to 7 days. This allows the medical team to monitor the newly reconnected bowel function and manage pain.
What type of anesthesia is used?
General anesthesia is used for the procedure.
What can I expect immediately after surgery?
You will have discomfort and pain, which will be managed with medication. You will start with a clear liquid diet and slowly progress to soft or regular foods as your bowel function returns.
Will I have a scar?
Yes, a small incision will be made around the stoma site, and you will have a scar there.
How long does recovery take?
Full recovery usually takes about 4 to 8 weeks. During this time, you should avoid heavy lifting and strenuous activity.
What changes can I expect in bowel function?
It is common to experience frequent bowel movements, urgency, and sometimes leakage (incontinence) in the weeks following the reversal. This is often temporary as the body adjusts.
When should I call the doctor?
You should contact your surgeon immediately if you experience:
- A fever over 101.5°F
- Severe abdominal pain
- Persistent nausea or vomiting
- Inability to pass gas or have a bowel movement
- Excessive bleeding or discharge from the incision site
.
What can I do with my leftover ostomy supplies?
In most cases is is not legal to sell medical supplies that have been provided through a prescription.
But, there are many places you can donate them.
- Look for local posts on Facebook for people looking for supplies. It is very rewarding to hand them over directly to someone who can use them in your immediate area!
- Give them to your surgeon. They typically won’t have supplies provided to them, and can use them for ostomy patients who need to try new types of supplies, or who need them due to financial hardships.
- Visit the United Ostomy Associations of America at https://www.ostomy.org/donate-ostomy-supplies/. They offer many options for donating your supplies.
- Donate them to a local cancer center, they may have ostomate patients who can make use of them.
There are always ostomates who cannot afford their supplies. Your leftover items may be invaluable to someone else!