Upper Gastrointestinal Cancer: Delays in Diagnosis and Treatment Caused by Barriers to Healthcare in the Latino Community

Eleazar E. Montalvan-Sanchez, Renato Beas, Dalton Argean Norwood, Ahmad Mahmoud Alkashash, Aida A. Rodriguez Murillo, Gerardo Calderon

Abstract


We report a case of an 81-year-old male immigrant from a Latin American developing country with a high burden of upper gastrointestinal neoplasms, who presented with a small bowel gastrointestinal stromal tumor (GIST) after 2 years of delay in the diagnosis due to multiple barriers to healthcare. The patient presented with a partial intestinal obstruction in an abdominal computed tomography (CT) scan suggestive of a GIST. Surgical resection was performed, and adjuvant therapy was initiated with imatinib (a tyrosine kinase inhibitor) after the diagnosis was confirmed. The patient had a successful outcome. Due to his migratory status, the patient planned to follow up with different health providers in two different countries, which constitutes a common challenge in the immigrant population.




Gastroenterol Res. 2022;15(3):142-147
doi: https://doi.org/10.14740/gr1514

Keywords


GIST; Upper gastrointestinal tract; Hispanic or Latino; Healthcare disparities; Health services accessibility

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