For patients with celiac disease confirmed on endoscopy with characteristic endoscopic findings, do you routinely repeat EGD to document healing, or just follow up with serial serologies and repeat EGD only based on the absence of clinical response?

If a patient has been able to effectively avoid gluten and there is no diarrhea, labs are normal, and tissue transglutaminase (TTG) is normal, there is no need for a follow-up endoscopy. Follow-up endoscopy is indicated if there is suspicion that villous atrophy continues.