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Reply to "removal or disconnect?"

Necrosis is not an issue, as the blood supply and nerves remain. You will still need to empty your pouch once a day or so, as there will be accummulated mucous that is sloughed off. There also may be a risk of diversion pouchitis. It does not always happen, but it can be fairly common. Still, leaving the pouch intact works for some, and it is a far less complex procedure than pouch removal. 

 

If it becomes a problem, the pouch can still be removed later, and it might go more smoothly after you have been living with the ostomy with improved health and vigor.

 

Another possibility is to remove the pouch, but leave the sphincters and anus behind. This leaves far less mucous membrane to drain. Also, it heals better than the big perineal wound from removing everything. I know of one member here who had that procedure.

 

Jan

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