no the terminal 5 cm of ileum closed and we consider the old colostomy as mucuos fistula .
In my opinion, this patient should not be discharged. He is amenable for dehydration, skin excoriation and will need parenteral nutrition and special stoma care. I don't think this will be available at his home. You should: - stop oral intake except for few sips for psychological concern. - start total parentral nutrition. - put the patient under observation with special care to the stoma with soothing agents and sometimes we use Foley's catheter inside the stoma as a method to control its output by inflating/deflating regularly. - Once you have a good general condition, stable vital signs with accepted laboratory investigations, go for surgical reconstruction. He will suffer malabsorption and diarrhea for some weeks but in most cases the intestine undergoes compensatory adaptation.  If you want to refer him send me his data on facebook.