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Pouchitis is a common complication following formation of an ileal pouch-anal anastomosis (IPAA) after proctocolectomy for ulcerative colitis (UC). Gut-specific lymphocyte trafficking mechanisms have been identified as players in the pathogenesis of UC. In the present study, we aimed to characterize the presence of lymphocyte subsets expressing gut-homing molecules in pouches and peripheral blood of UC patients with and without pouchitis. Biopsy samples and peripheral blood were collected from 29 patients with an IPAA (7 with active inflam