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During past nine years, our Department performed 115 J-pouch ileoanal anastomosis in a three stage procedure, of whom 7 (6.1%) experienced pouch failure. Pelvic or intra-abdominal sepsis was the major cause of pouch failure. Our current technique, the technical pitfalls of this procedure and possible countermeasures are described. Most of the septic complications can and should be prevented by careful patient management and proper surgical techniques.

Method of bowel function and quality of life (QOL) is more importantly questioned in IAA than IACA. UC patients have less complete IAA function than in the FAP; the former, nevertheless, were more favorably satisfied of the result than in the latter. UC series was found to include the patient with "anal personality" who tended to be more tolerable with bowel dysfunction. Daily stool frequency, nocturnal stool and soiling frequency were found proportionally related with patient's satisfaction rate and grade of frustration tension. A standardized integrated clinical category system was designed from the stand point of patient satisfaction. Well organized care and management system on post IAA course could accelerate functional recovery and could even step up QOL.