Patients with inflammatory bowel disease (IBD) sometimes require proctocolectomy with ileal pouch-anal anastomosis (IPAA) due to medically refractory colitis or neoplasia. However, pouchitis can develop in up to 80% of patients after the surgery. Given that previous studies demonstrated an association between chronic pouchitis and inflammatory polyps, we hypothesize that inflammatory polyps can be a predictor for pouch outcomes. This study assesses the frequency, risk factors, and prognosis of the J pouch with inflammatory polyps.