Has anyone out there had similar surgery to me? I had an emergency colostomy last year ( Hartmann procedure) and have recovered very well. I can eat almost anything, despite the dire predictions from some quarters. However, having read “The Clever Guts” book, I am now wondering if my micro biome is reduced as I have lost a length of gut. Also, I now manage using irrigation, in effect washing out the contents of my bowel every 24hours. It has great advantages in management but I wonder if I am also washing out the good bugs! I have asked several medics but no-one seems to have an answer!