Dyspepsia still becomes a major challenge in upper gastrointestinal disease in Indonesia. This disease often correlated with Helicobacter pylori infection. However, the prevalence of this bacterium is generally low in Indonesia. Therefore, several considerations should be taken into consideration during the management of dyspepsia and H. pylori infection. “Management of dyspepsia and H. pylori infection in Indonesia: The Indonesian consensus report” comprises information gathered from 22 gastroenterology centers across Indonesia. The experts gathered to evolve a consensus, that consists of the statements, grades of recommendations, evidence levels, and rationales for the dyspepsia and H. pylori infection management for daily clinical practice. The report explains several aspects from the updated epidemiology information to comprehensive management therapy. After the experts worked together on all statements in the recommendations, the results are presented with the final agreement as a consensus to help clinicians in understanding, diagnosing, and treating dyspepsia and H. pylori infection patients in daily clinical practice in Indonesia.

Patient

Background: Gastro-esophageal Reflux Disease (GERD) is a disease that is commonly found in daily practice and affecting the patients’ quality of life negatively. GERD-Q is a tool in the form of validated questionnaire that is quite useful and easy to use in daily practice to diagnose GERD by symptoms and signs especially in primary care that do not have endoscopy facilities.  This study was built to assess the correlation between GERD-Q score and esophagitis finding in upper gastrointestinal endoscopy in Pekanbaru. Method: This was a prospective cross-sectional study with sample groups of GERD-Q score ≥8 (high GERD-Q score) and GERD-Q score 8 (low GERD-Q score) which underwent upper gastrointestinal endoscopy to assess reflux esophagitis. GERD-Q score data were obtained by direct interview.Results: This study was participated by 65 subjects with reflux esophagitis and 51 non-esophagitis patients that had undergone upper gastrointestinal endoscopy procedure. The 65 subjects with reflux esophagitis were divided into groups based on severity (LA Classification), Grade A 29 subjects (45%), Grade B 23 subjects (35%), Grade C 11 subjects (16%), and Grade D 2 subjects (3%). The result of this study showed that there was a statistically significant correlation between GERD-Q score category with esophagitis findings from upper gastrointestinal endoscopy (p 0.05, PR = 2.6)Conclusion: There is a statistically significant correlation between GERD-Q score and esophagitis findings from endoscopy but no relevance in esophagitis severity.

Peraturan Daerah Kab./Kota dibentuk oleh DPRD dengan persetujuan bersama kepala Daerah. Untuk memperoleh Peraturan Daerah yang berkualitas, pembentukan Peraturan Daerah perlu dilakukan secara terencana, sistematis dan partisipatif. Salah satu institusi yang mempunyai tugas pokok dan fungsi merumuskan suatu produk hukum daerah, baik yang bersumber dari delegasi maupun atribusi dari peraturan perundang-undangan yang lebih tinggi adalah Bagian Hukum Sekretariat Daerah. Bagian Hukum Sekretariat Daerah Kab. Kerinci dalam Pembentukan Peraturan Daerah diawali dengan penyampaian surat Bupati kepada Pimpinan SKPD untuk menyusun Program Pembentukan Peraturan Daerah Peran SKPD dalam perencanaan pembentukan Peraturan Daerah yakni melakukan pengkajian dan penelusuran berbagai produk hukum yang dikeluarkan oleh Pemerintah, agar setiap peraturan perundang-undangan yang dikeluarkan oleh Pemerintah yang membutuhkan pengaturan lebih lanjut dengan Peraturan Daerah dapat dilaksanakan sebagaimana mestinya PNS yang ada diSKPD Pemerintah Kabupaten Kerinci untuk dialihtugaskan ke Bagian Hukum Sekretariat Daerah.