After IPAA, most patients have successful outcomes.• Up to 29.1% of patients will develop late-pouch related complications. 5.3% of these patients will suffer pouch failure with 3.2% requiring a pouch excision.• Outcomes of pouch excision (PE) are reported only in small retrospective single-center studies.• The aim of this study was to assess 30-day morbidity, 30-day mortality, and predictors of morbidity and mortality.
PE is an operation with significant risk of morbidity. However, mortality was low in the present cohort of patients. Patients who were smokers and had longer operative time had increased risk of overall infectious complications and major morbidity. Furthermore, major morbidity and operative time were associated with increased hospital length of stay following PE.
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