BackTable Vascular & Interventional Ep. 550 Percutaneous Transesophageal Gastrostomy: Indications and Procedure Insights with Lisa Rotellini-Coltvet and Dr. Alex Wallace
Jun 6, 2025
In this engaging discussion, Dr. Alex Wallace, an interventional radiologist at Mayo Clinic, and Lisa Rotellini-Coltvet, a physician assistant, share their expertise on the groundbreaking percutaneous transesophageal gastrostomy (PTEG). They delve into patient selection criteria, emphasizing its importance for those who can't undergo traditional methods. The duo also highlights the substantial impact of PTEG on quality of life, detailing successful case studies and stressing the need for thorough education for patients and healthcare staff to ensure optimal outcomes.
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Origin of PTEG Program at Mayo
- Lisa Rotellini-Coltvet shared how the PTEG procedure program began at Mayo Clinic inspired by Japanese techniques.
- She collaborated internationally and adapted it for US use with Dr. David Casper's help.
Ideal PTEG Candidates
- PTEG is ideal for patients with malignancies who lack safe traditional transabdominal gastrostomy access.
- Candidates include those with gastric cancer, peritoneal carcinomatosis, ascites, prior gastrectomies, or anatomical challenges.
Refer Patients Earlier for PTEG
- Refer patients for PTEG earlier in their disease course to improve outcomes and quality of life.
- Increase awareness of the procedure among referring clinicians and specialties such as surgery and oncology.