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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?
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Gastroenterology · CUMC
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  1. 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.
  2. After response to Budesonide, continue life-lo...

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