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Good topic, Greg. I have not had an RC and hope to avoid one as long as possible. But I have already decided that if I do need one it will be an ilieal conduit. The type of diversion depends on many things, age, health, etc. etc. so no one type is right or wrong for everyone. In general, based on my own readings I think the ileal is least likely to create long term problems. HOWEVER: I have heard of people who have had ilials have lots of residual problems while others who have has neos, etc. have very few problems. I believe everyone will have some kinds(s) of problems. I had a colon resection because of colon cancer, that was in 97 (that’s 1997, not 1897). I have had residual problems ever since. Could have been the chemo, but likely the surgery. When the bowls get messed with (sorry to be so clinical) they seek revenge. I would expect some kind of bowl disruption both short and long term. The small intestine is much less forgiving than the large intestine it seems.
Kiowa