Persistent gastrocutaneous fistula (GCF) is a common complication after removal of a gastrostomy tube. Many different techniques for GCF closure have been described. A novel technique involving a punch biopsy device was recently described. called the Punch Excision of Epithelialized Tract (PEET) procedure. https://www.roneverhart.com/Under-Armour-Hustle-5-0-TEAM-Backpack/