Ileal-anal pouches: A review of its history, indications, and complications

Table 3 The Cleveland Clinic Foundation ileal pouch failure score

Risk factor	Points
Diagnosis
FAP	0
UC or indeterminate colitis	1
Crohn’s disease	1.5
Patient co-morbidity
No comorbid conditions	0
1 comorbid condition	0.5
2 or more comorbid conditions	1
Prior anal pathology
No prior anal pathology	0
Prior anal pathology	1
Anal sphincter manometry
Normal manometry	0
Abnormal manometry (squeeze pressure < 100, resting pressure < 40)	1
Anastomotic separation
No anastomotic separation	0
Anastomotic separation	1
Anastomotic stricture
No stricture or asymptomatic stricture	0
Symptomatic stricture	1
Pelvic sepsis
No sepsis	0
One episode of pelvic sepsis	1
Two or more episodes of pelvic sepsis	2
Fistula formation
No fistula	0
Pouch-perineal fistula	1
Pouch-vaginal fistula	2
TOTAL score

This score is interpreted based on the number of years post pouch formation, and a probability of pouch failure is then calculable (http://www.riskprediction.org.uk/index-ccfipf.php). FAP: Familial adenomatous polyposis; UC: Ulcerative colitis.