If I need surgery, will I have to wear an ostomy bag?
Not necessarily. There are three options for eliminating bowel waste after removal of the colon. One is the standard ostomy, and use of ostomy appliances. Another is a so-called continent ostomy, which is emptied through a rigid tube you insert through the valve-like ostomy opening. The third is the ileo-anal pull-through, where the ileum is attached to the rectal wall, and you eliminate through the anus.