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[This text is machine generated and may contain errors.]
October 25, 1968
Ward Griffen, MD.
Professor of Surgery
University of Kentucky
Lexington, Kentucky 40506
Dear Wardo:
Both Mary and I were sorry we missed you in Atlantic City.
You did not miss very much; the meetings were just fair.
At a recent panel discussion, in which I participated with
Heimlich at Washington, I presented two cases of esophageal
stricturein Epidernolysis Bullesa dystroph in two children, in
whom I replaced the whole esophagus with a colonic graft (upper
anastomosis in the neck). Both children, who were terribly de-
bilitated, have a very good result. Heimlich talked on his nice
modification on the Jeanu operation. He made a statement to me,
that the small bowel is more sensitive to acid-peptic activity
to lower down you go, the colon being, therefore, more sensitive
that the ileum, the ileum more than the jejunum. This surprised
me, as I always believe exactly the opposite. What were your
results experimentally and clinically? Is it true that ileal
and colonic interposition of the lower esophagus is out? I have
little long-term experience with it.
I had fun finishing a movie on coronary artery replacement
with a saphenous graft; I have now a good series of patients with
direct coronary construction.
When are you going to stop by?
Love to your family from all of us,
KBA:elg Karl B. Absolon, MD.