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The meantime to balloon expulsion was 54seconds. During dynamic MR defecography, the mean descent of ano-pouch junction was 2.6cm, and mean pouch evacuation was 44.5% and 74.2% pre- and posttoilet phase, respectively. A substantial proportion of patients with IPAA and self-reported healthy pouch function have anatomic and/or functional abnormalities of the pouch. In asymptomatic IPAA patients with an anatomically normal pouch, we have proposed normal parameters for high-resolution ano-pouch manometry, time to balloon expulsion, pouch ba