Chapter 19. Perforation of the Gastrointestinal Tract

  1. Tony C. K. Tham MD, FRCP, FRCPI Consultant Gastroenterologist Head of School of Medicine3,4,
  2. John S. A. Collins MD Consultant Gastroenterologist5 and
  3. Roy M. Soetikno MD, MS Chief Associate Professor6,7
  1. John Moorehead MD, FRCS Consultant Surgeon Honorary Senior Lecturer in Surgery1,2 and
  2. Ian McAllister MD Consultant Surgeon1

Published Online: 9 FEB 2009

DOI: 10.1002/9781444303292.ch19

Gastrointestinal Emergencies, Second Edition

Gastrointestinal Emergencies, Second Edition

How to Cite

Moorehead, J. and McAllister, I. (2008) Perforation of the Gastrointestinal Tract, in Gastrointestinal Emergencies, Second Edition (eds T. C. K. Tham, J. S. A. Collins and R. M. Soetikno), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444303292.ch19

Editor Information

  1. 3

    The Ulster Hospital, Dundonald, Belfast, Northern Ireland, UK

  2. 4

    Northern Ireland deanery, UK

  3. 5

    Royal Victoria Hospital, Belfast, Northern Ireland, UK

  4. 6

    GI Section, VA Palo Alto Health Care System, USA

  5. 7

    Stanford University, USA

Author Information

  1. 1

    Ulster Community & Hospitals Trust, Belfast, UK

  2. 2

    Queen's University of Belfast, Belfast, UK

Publication History

  1. Published Online: 9 FEB 2009
  2. Published Print: 28 NOV 2008

ISBN Information

Print ISBN: 9781405146340

Online ISBN: 9781444303292



  • perforation of the gastrointestinal tract;
  • nonoperative approach;
  • colonic perforation;
  • etiology of colonic perforation;
  • multidetector computed tomography (MD-CT) with oral and intravenous contrast;
  • Mannheim peritonitis index;
  • laparotomy and three-stage procedure;
  • management algorithm


This chapter contains sections titled:

  • Peptic perforation

  • Colonic perforation

  • References