For patients with eosinophilic esophagitis in remission on stable maintenance therapy, at what intervals should you consider repeat endoscopic evaluation?

This is a good question, as there is no standard surveillance interval. In our practice, for stable patients, we recommend routine clinical follow-up every year to assess symptoms and medication adherence. For patients thought to be in remission and on stable therapy, we consider repeat endoscopy every few years (~ 1-3 years), given that patient symptoms do not always correlate with ongoing inflammation. However, we would individualize the interval and consider more frequent surveillance in patients who have a history of food impactions, prior severe strictures/fibrostenotic disease, and if there is uncertainty regarding medication compliance.