Mo1209 TREATMENT OF LYMPHOCYTIC ESOPHAGITIS IN A LARGE TERTIARY ACADEMIC INSTITUTION

and fibrostenotic signs on EGD (Table ).However, after multivariate regression, only length of follow-up time was independently associated with higher endoscopic utilization (aOR per 90 day increase 1.11; 95% CI 1.08-1.13).At the time of last contact, patients with high endoscopic utilization had better symptom response (60% vs 40%; p<0.001), improved esophageal caliber (15.0 vs 13.9mm; p=0.02), and more histologic response (49% vs 31% at 15 eos/hpf; p<0.001).Results were similar for the top quartile of clinic visit utilization (>3 visits): symptom response (66% vs 36%; p<0.001); esophageal caliber (17.1 vs 16.1mm; p=0.007); histologic response (49% vs 31%; p<0.001).Conclusions: EoE cases who remain under follow-up care have high health care utilization, but greater utilization was associated with improved response rates.The amount of follow-up time was the only independently associated factor for high utilization.It is important to emphasize the chronicity of EoE to patients, as well as the potential burden of follow-up endoscopy and clinic visits required for ongoing successful care. Mo1208