“…[3][4][5][6][7] Primary diagnosis (ie Crohn's disease), development of anal pathology, anal sphincter dysfunction, patient comorbidities (ie weight gain), pelvic sepsis, anastomotic stricture and separation were found as predictors of pouch failure. 8,9 Pouch failure is a big tragedy for patients and some patients want to push the limits to salvage ileoanal pouch to avoid a permanent ileostomy. Surgical revision of the failed ileoanal pouch is the only option to salvage IPAA and maintain intestinal continuity.…”