Catamenial pneumothorax: a heterogeneous syndrome.

creating a ‘‘temporary bypass’’ of the fistula. Other proposed treatments include the endoscopic use of adhesives (surgical glues),which has provided controversial results. In cases that do not respond to any treatment, the possibility of treating the distal stenosis (if there is any) with endoscopic dilatations should be assessed. If there is no other option left except for surgery, simple fistula closure should be avoided and gastric intraluminal pressure should be reduced by converting the technique to gastric bypass.