How do you adjust medications for patients with eosinophilic esophagitis who responded to budesonide or PPI, and when do you repeat EGD?
1. Repeat EGD after BID PPI is normal- do you decrease to once-a-day PPI? When to repeat EGD if ever?
2. After response to Budesonide, continue life-long vs taper vs switch to Dupilumamb?
3. Why not first-line Dupilumab?
1 Answer
Mednet MemberInvited Expert
Gastroenterology · CUMC
Answered on
- Repeat EGD after BID PPI is normal- do you decrease to once-a-day PPI? When to repeat EGD if ever?
- I try to decrease to once daily in the morning, but if so, I repeat an endoscopy 3 months later to make sure histologic remission is still maintained.
- After response to Budesonide, continue life-long vs taper vs switch to Dupilumab?
- They are both options. I will try to reduce budesonide to 1 mg before bedtime, but, as with PPIs, will repeat EGD in 3 months to make sure remission is maintained....
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