Background: The use of coffee in patients undergoing surgery of the lower gastrointestinal tract promotes the stimulation of peristalsis, favors tolerance to the initiation of the oral route as well as early progression to the soft diet. Objective: To present the clinical effects of starting the oral route with coffee in patients undergoing lower gastrointestinal tract surgery. Methods:  A descriptive study was performed to analyze the clinical effects of coffee in 14 postoperative patients of lower gastrointestinal tract surgery. The variables analyzed were: presentation of bowel sounds, expulsion of flatus, and effective evacuation.  Results: Fourteen patients were included, 9(64.3%) women and 5(35.7%) men, the use of coffee in patients with lower gastrointestinal tract surgery showed early progression to soft diet tolerance. Conclusions: The initiation of coffee in patients ...

Vascular malformations represent a heterogeneous spectrum of lesions that often present a diagnostic and therapeutic challenge, thus requiring a high index of clinical suspicion to reach a definitive diagnosis. Cloves syndrome is a rare overgrowth disorder of genetic etiology associated with a somatic activating mutation in PIK3CA, which is part of the PI3KAkt-mTOR intracellular signaling pathway. Clinically, it is characterized by congenital lipomatous overgrowth of any part of the body (mainly the thorax), accompanied by vascular and lymphatic malformations, epidermal nevi and structural abnormalities of the skeletal system such as scoliosis and alterations in the spine. The current therapeutic cornerstone for this syndrome is therapy with rapamycin, an mTOR pathway inhibitor. On the other hand, Klippel-Trenaunay syndrome is a complex vascular condition associated with overgrowth due t...