AUCTORES
Globalize your Research
Case Report
*Corresponding Author: Ahmad Reza Shahraki., General Surgeon, Department of Surgery, Medical Faculty, Zahedan University of Medical Sciences and Health Services, Zahedan, Iran.
Citation: Ahmad R. Shahraki, Elham Shahraki, Elahe Shahraki, (2024), Meckel's Diverticulum and Complications in A 75 Years Old Man: A Case Report, Journal of Clinical Surgery and Research, 5(6); DOI:10.31579/2768-2757/137
Copyright: © 2024, Ahmad Reza Shahraki. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 13 August 2024 | Accepted: 03 September 2024 | Published: 19 September 2024
Keywords: Meckel’s diverticulum
Meckel’s diverticulum (MD) is a congenital outpouching or bulge in the lower part of the small intestine. It is the most common congenital defect of the gastrointestinal tract. MD is usually asymptomatic but when symptomatic, typically presents in childhood. Meckel’s diverticulum is the most common congenital anomaly of the gastrointestinal system. It originates from failure of the vitelline duct to obliterate completely, which is usually located on the antimesenteric border of the ileum. Its incidence is between 1% and 3%. Meckel’s diverticulum occurs with equal frequency in both sexes, but symptoms from complications are more common in male patients. Most of the Meckel’s diverticula are discovered incidentally during a surgical procedure performed for other reasons. Hemorrhage, small bowel obstruction, and diverticulitis are the most frequent complications.
This case was a 75 years old male with abdominal pain and signs and symptoms of acute appendicitis that in surgery has a complicated Meckel's diverticulum that resected and anastomosis of small intestine was done and discharge with no complication and healthy.
In summary, although Meckel’s diverticulum is the most prevalent congenital abnormality of the gastrointestinal tract; it is often difficult to diagnose. The complications of Meckel’s diverticulum should be taken into account in the differential diagnosis of small bowel obstruction. Surgical resection has always been the treatment of choice in symptomatic MD. However, there has been debate about the proper management of asymptomatic MD if incidentally discovered during laparotomy or laparoscopy. Fewer studies discouraged the prophylactic removal of MD.
Meckel’s diverticulum (MD) is a congenital outpouching or bulge in the lower part of the small intestine. It is the most common congenital defect of the gastrointestinal tract. MD is usually asymptomatic but when symptomatic, typically presents in childhood [1]. Meckel's diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract. Most cases are asymptomatic and when symptomatic, preoperative diagnosis of MD is poor. Intestinal obstruction, Malena or hematochezia, and inflammation are major symptoms [2]. Meckel's diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract that ensues as a result of partial closure and persistence of the vitelline, or the omphalomesenteric duct during embryogenesis [3]. It is a true diverticulum containing all the layers of the small intestine and is known to contain ectopic gastric mucosa [4]. The reported prevalence of MD is between 0.3% and 2.9% of the general population and its frequency is higher in male patients than in females with a ratio of 1.5:1–4:1 [5,6]. Meckel’s diverticulum is the most common congenital anomaly of the gastrointestinal system. It originates from failure of the vitelline duct to obliterate completely, which is usually located on the antimesenteric border of the ileum. Its incidence is between 1% and 3%. Meckel’s diverticulum occurs with equal frequency in both sexes, but symptoms from complications are more common in male patients. Most of the Meckel’s diverticula are discovered incidentally during a surgical procedure performed for other reasons. Hemorrhage, small bowel obstruction, and diverticulitis are the most frequent complications [7]. Histologically, heterotopic gastric and pancreatic mucosas are frequently observed in the diverticula of symptomatic patients. Involvement of the mesodiverticular band of the diverticulum is rarely seen. This case report presents the diagnosis and management of a small bowel obstruction due to mesodiverticular band of a Meckel’s diverticulum [8].
Key words: Adult meckel’s diverticulum, acute intestinal obstruction, diverticulectomy, Meckel's diverticulum, Gastroenterology, Congenital diverticulum.
This case is a 75 years old male with abdominal pain that referred to surgery part with abdominal pain. We admit him and start examination that has low grade fever, RLQ tenderness, leukocytosis, nausea and vomiting but no evidence of peritonitis. Ultrasonography shows evidence of The acute appendicitis and surgery perform for him with diagnosis of acute appendicitis that in surgery we face with complicated Meckel’s diverticulum (MD) (figure1,2). We resect small bowel part contains complicated Meckel’s diverticulum (figure3), and anastomosis did. After surgery we follow and observe he and he tolerate PO on third days after surgery and we discharge him 5 days after admission healthy.
Figure 1: complicated Meckel’s diverticulum (MD).
Figure 2: complicated Meckel’s diverticulum (MD).
Figure 3: Resected complicated Meckel’s diverticulum (MD).
Meckel’s diverticulum was originally described by Fabricius Hildanus in 1598. However, it is named after Johann Friedrich Meckel, who established its embryonic origin in 1809. Meckel’s diverticulum is the most common congenital anomaly of the small intestine, with a prevalence of approximately 1-3%, and is a true diverticulum containing all layers of the bowel wall. The average length of a Meckel’s diverticulum is 3 cm, with 90% ranging between 1 cm and 10 cm, and the longest being 100 cm. This diverticulum is usually found within 100 cm of the ileocaecal valve on the antimesenteric border of the ileum. The mean distance from the ileocaecal valve seems to vary with age, and the average distance for children under 2 years of age is known to be 34 cm. For adults, the average distance of the Meckel’s diverticulum from the ileocaecal valve is 67 cm. Most cases of Meckel’s diverticulum are asymptomatic, and the estimated risk of developing lifetime complications of Meckel’s diverticulum is around 4% (9). Most patients are asymptomatic and the diagnosis is difficult to confirm preoperatively. Among the symptomatic patients, two types of heterotopic mucosa (gastric and pancreatic) are found histologically within the diverticula. The frequent complications of Meckel’s diverticulum are hemorrhage, intestinal obstruction and diverticulitis. Intestinal obstruction is the second most common complication of Meckel’s diverticulum [10]. There are plenty of mechanisms for bowel obstruction arising from a Meckel’s diverticulum. Obstruction can be caused by trapping of a bowel loop by a mesodiverticular band, a volvulus of the diverticulum around a mesodiverticular band, and intussusception, as well as by an extension into a hernia sac (Littre’s hernia) [11]. Similarly, as in our case; obstruction can be caused by trapping of a bowel loop by a mesodiverticular band. The important aspect of our case is clear demonstration of the mesodiverticular band of a Meckel’s diverticulum. Various imaging modalities have been used for diagnosing Meckel’s diverticulum. Conventional radiographic examination is of limited value. Although of limited value, sonography has been used for the investigation of Meckel’s diverticulum. High-resolution sonography usually shows a fluid-filled structure in the right lower quadrant having the appearance of a blind-ending, thick-walled loop of bowel [12]. On computed tomography (CT), Meckel’s diverticulum is difficult to distinguish from normal small bowel in uncomplicated cases. However, a blind-ending fluid or gas-filled structure in continuity with the small bowel may be revealed [13]. Abdominal CT is used for complicated cases such as intussusceptions. CT can help to confirm the presence of intussusception and distinguish between lead point and non-lead point intussusceptions [14]. In asymptomatic patients; whether all cases of incidental Meckel’s diverticula should be resected or not is an unresolved question. On the other hand, for the symptomatic patients; treatment should always include resection of the diverticulum or the segment of the bowel affected by the pathology [15]. MD can present with various complication spectrums, including small-bowel obstruction, peritonitis, and severe iron-deficiency anemia, which may cause difficulty in definitive diagnosis, particularly in children. Segmental small-bowel resection and primary anastomosis are effective surgical approaches and show good outcomes for MD patients [17].
In summary, although Meckel’s diverticulum is the most prevalent congenital abnormality of the gastrointestinal tract; it is often difficult to diagnose. The complications of Meckel’s diverticulum should be taken into account in the differential diagnosis of small bowel obstruction. Surgical resection has always been the treatment of choice in symptomatic MD. However, there has been debate about the proper management of asymptomatic MD if incidentally discovered during laparotomy or laparoscopy. Fewer studies discouraged the prophylactic removal of MD (16). Most of the MD are asymptomatic but when clinical manifestations arise from complications like obstruction, bleeding, or diverticulitis, MD must be included in the differential diagnosis. Young patients with small bowel obstruction are rarely diagnosed prior to surgery because of its indistinguishable features from other intraabdominal pathologies. The standard treatment of MD is definitive surgery, including diverticulectomy or ileal resection. Early surgery is required in order to prevent strangulation or gangrene. Significant morbidity and mortality can be prevented when clinicians promptly act to diagnose MD and manage it on time. There are several surgical approaches for MD, such as segmental small-bowel resection including MD and diverticulectomy only [18]. Some surgeons prefer to perform segmental small-bowel resection, including MD, because they want to include any possible intestinal ulceration within the resection samples, while other surgeons choose the latter because they consider that the ulcerated ileum is close to the ectopic gastric mucosa [18]. In conclusion, MD can present as various complication spectrums, including small-bowel obstruction, peritonitis, and severe iron-deficiency anemia, which may cause difficulty in definitive diagnosis, particularly in children. Segmental small-bowel resection with primary anastomosis are effective surgical approaches and show good outcomes for patients with MD. The diagnosis should be considered in any patient with abdominal discomfort without other explanation, nausea and vomiting or gastrointestinal bleeding. Treatment of symptomatic Meckel’s diverticulum is definitive surgery including diverticulectomy, wedge resection and segmental resection; the procedure depends on the integrity of diverticulum base and adjacent ileum [19]. In addition, it is also important to always try to expand the cavity inventory in the intraoperative period, especially in the absence of explanations for the previous clinical findings, with mandatory assessment of the small intestine from the ileocecal valve for, at least, the first 100 cm, in order to find a MD and its possible complications [20, 21, 22]. Although rare, its clinical presentation might be similar to acute appendicitis, which restate the importance of collecting a detailed clinical history and examining the small bowel in order to investigate a possible Meckel’s diverticulum complication in the differential diagnosis [23]. Although relatively rare in adults, MD should be considered in the list of differentials in patients with intussusception leading to SBO, especially on a background history unremarkable for the most common etiologies causing SBO including post-operative adhesions and hernias [24]. Laparoscopy can be useful in the diagnosis and treatment of Meckel’s diverticula. In addition, the laparoscope can be used to remove incidentally discovered diverticula [25].: Meckel’s diverticulum can be difficult to diagnose and require a higher level of suspicion. Although Meckel’s diverticulum is uncommon in adults, it should be considered a cause of small bowel obstruction [26].
Ethical Approval and Consent to participate:
The content of this manuscript is in accordance with the declaration of Helsinki for Ethics. No committee approval was required. Oral and written consent to participate was granted by her Family.
“Written informed consent was obtained from the patient's legal guardian for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.”
It is available.
The author declares that they have no competing financial interests and nothing to disclose.
There is no funding.
Surgical resection has always been the treatment of choice in symptomatic MD. However, there has been debate about the proper management of asymptomatic MD if incidentally discovered during laparotomy or laparoscopy. Fewer studies discouraged the prophylactic removal of MD.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
