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.diegojavierfares.com/mega-pick-Jessamine-Orange-Peel-Monrovia-great-pick/