Erica,
I hope this helps

Pt had a PEG tube place approx 5 years ago; the PEG tube was removed several months ago but has had persistent drainage from a gastric cutaneous fistula ever since

Pt was taken to the OR; a horizontal elliptical incision was made overlying the gastric cutaneous fistula extending 4 to 5 cm. Dissection was carried down through the underlying tissues with a combination of sharp and blunt dissection and electrocautery until the anterior fascial sheath was encountered. Dissection was then continued in a medial direction until the fistulous tract was encountered. The fistula was grasped with an Allis clamp and the overlying cicatrix of tissue was excised with electrocautery . The fistulous tract was examined and was probed and was found to be an intraluminal opening into the stomach. The tract was the closed with suture as was the fascia defect

Path Report came back with gastrocutaneous fistula with active inflammation and abscess