Can a Permanent Colostomy Be Reversed?

An end colostomy can also be reversed, but involves making a larger incision so the surgeon can locate and reattach the 2 sections of colon. It also takes longer to recover from this type of surgery and there's a greater risk of complications.

What is the success rate of colostomy reversal?

Previous studies have demonstrated rates of reversal of end colostomy from 35% to 69%,^{8,13,15,20,22} but most studies included mixed groups of patients, who may have undergone diversion for diverticulitis, cancer, and other indications.

What determines if a colostomy can be reversed?

You can be considered for a stoma reversal if you have enough rectum left intact (unless you are having J Pouch surgery in which, a new rectal reservoir will be created from your small bowel), have good anal sphincter muscle control, don't have any active disease in your bowel or rectum and are generally in good health ...