
It Takes Guts
Claim This Podcastby American Foregut Society
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Podcast Overview
<p><strong>All Fore Guts</strong> brings gastroenterologists and surgeons together to discuss common foregut conditions. Hosted by the American Foregut Society's Shaun Daly, MD, FACS.</p>
Language
🇺🇲
Publishing Since
12/10/2021
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Recent Episodes

June 4, 2026
GERD Demystified: PPIs, TIF, and Shared Decision-Making
<p>In this episode of All Fore Guts, Ben Elsbernd, MD, is joined by Josh Sloan, MD, and Jacob Moremen, MD, for a practical discussion on the evaluation and management of GERD, patient concerns around long-term PPI use, and the evolving role of procedural options such as TIF and CTIF. </p><p>The conversation explores how clinicians can approach shared decision-making when patients are hesitant about PPIs, including how to communicate the strengths and limitations of available data while respecting patient preferences. <span> </span></p><p>Together, they highlight the value of collaborative care, realistic patient expectations, and thoughtful follow-up in optimizing outcomes for patients with foregut disease.<span> </span></p>

February 18, 2026
The Power of Advanced Practice Providers in Foregut Care
<p>In this special “APP Edition” of All Fore Guts, leaders in gastroenterology and foregut surgery come together to explore the expanding role of advanced practice providers in esophageal and foregut care. The panel discusses how PAs and NPs contribute to diagnostics, clinical workflows, surgical care, and long-term patient management, including esophageal monitoring and advanced endoscopy.</p><p>From academic medical centers to community practices, guests share real-world insights on improving access, streamlining care, and practicing at the top of their licenses. The episode also highlights emerging training models, mentorship, and innovative approaches such as transnasal endoscopy.</p><p>Whether you are an APP, physician, or healthcare leader, this episode offers valuable perspectives on building high-functioning, patient-centered teams in foregut medicine.</p>

July 29, 2025
Reflux Recurrence and the Road to Revision
<p>In this episode of All Four Guts, Dr. Waseem Skef leads a nuanced discussion on reflux symptoms after fundoplication surgery. Joined by Dr. Daniel Tseng and Dr. Yan Jang, the panel explores why symptoms like heartburn and regurgitation may return years after surgery—and how to tell whether it's a true surgical failure or something else entirely. Topics include when to reintroduce PPIs, interpreting diagnostic tests (like wireless pH vs. catheter testing), surgical revision thresholds, and the role of BMI, motility, and gastroparesis in decision-making. Whether you're managing a single patient or shaping a care pathway, this episode offers practical insights from both sides of the scope. </p><p>Don’t forget to subscribe to stay up to date on the latest conversations in foregut disease. </p>
9 total episodes available
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Frequently asked questions
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- What is It Takes Guts?
<p><strong>All Fore Guts</strong> brings gastroenterologists and surgeons together to discuss common foregut conditions. Hosted by the American Foregut Society's Shaun Daly, MD, FACS.</p> - How often does this podcast release new episodes?
This podcast updates bi-weekly.
- Where can I listen to this podcast?
This podcast is available on 7 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
- Does this podcast accept guests?
Yes, this podcast regularly features guests.
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