Necrotizing soft tissue infection following use of Punch Excision of Epithelialized Tract (PEET) procedure for gastrocutaneous fistula closure

Abstract

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. This case report describes a serious complication of necrotizing soft tissue infection after utilizing the PEET procedure for a GCF closure.

Keywords

• Gastrocutaneous fistula closure
• Necrotizing soft tissue infection
• Post-operative complication
• PEET procedure