My sister had another setback on Tuesday when with increasing pain and bloating she suffered a bowel perforation. The surgeons felt she could withstand surgery and took her down at midnight after giving her the choice on whether to have the surgery or allow nature to take its course. My sister opted for the surgery and made it through. Thr stoma hasn't started working yet, she is back in critical care with an NG tube. The plan is to start TPN and then start clamping the NG tube to see if the bowel will wake up. If it does TPN will stop and food started. As long as the stoma performs she will then need to get nutrition on board and build up her protein and general health. The caveat they gave her is if the stoma doesn't work, the bowel reblocks or another perforation happens she will be DNR. Hopefully tomorrow she will go back to a surgical ward and be able to eat something. She has very swollen legs due to lack of protein so nutrition is going to be crucial and I hope she can tolerate eating.