Endoscopy Services at Norton Sound Health Corporation
Our Endoscopy team is committed to providing high-quality diagnostic, screening, and surveillance colonoscopy and upper endoscopy (EGD) 
services. Colorectal cancer is one of the leading causes of cancer deaths among Alaska Native people, but it is also one of the most preventable with regular screening. For Alaska Native individuals, colonoscopy screening is recommended starting at age 40. Non-Alaska Native patients should begin screening at age 45. If you have a close family member who was diagnosed with colon cancer at a young age, you may need to start screening even earlier.
With a high rate of colorectal cancer detection in our region, we emphasize the importance of timely screening to improve patient outcomes.
Endoscopy clinics are scheduled 1-2 times each month and are led by either Dr. Paul Davis, a Surgeon from Alaska Native Medical Center (ANMC), or local provider Dr. Logan Huff. These clinics accommodate low-risk patients, while those at higher risk will be referred to ANMC for specialized care. By offering these essential services in Nome, we help patients receive care close to home—reducing the need for extended travel and minimizing delays. Our goal is to increase early detection and reduce colorectal cancer mortality through evidence-based interventions, including patient and provider reminders, provider assessment and feedback, and patient navigation services.
FIT (Fecal Immunochemical Test) Kit
For patients without a family history of colorectal cancer or polyps and no symptoms, a FIT stool test kit can serve as an annual at-home screening option. This simple stool test is quick and easy to complete (read the step-by-step instructions here). If you’re unsure whether a FIT kit is right for you, talk to your provider.
To request a FIT kit, call us at (907) 443-3478.
Colorectal Cancer Symptoms
The following can be signs and symptoms of colorectal cancer however it is very important to note that most individuals with early-stage colorectal cancer do not experience any signs or symptoms.
- A change in bowel habits such as diarrhea or constipation
- Abdominal pain
- Feeling bloated
- Bleeding from the rectum or blood in the stool
- Anemia
- Decreased appetite
- Weakness and fatigue
- Weight loss
What to expect
What is a Colonoscopy?
A colonoscopy can save lives and is the most effective test for detecting colorectal cancer early.
A colonoscopy is a procedure used to detect changes or abnormalities in the colon (large intestine) and rectum. To ensure your comfort, you will receive a sedative and pain medication before the exam begins. During the procedure, a thin, long, flexible tube with a tiny video camera at the tip is carefully inserted into the rectum, allowing the doctor to examine the entire colon. If necessary, a small tissue sample (biopsy) can be taken for further evaluation. Polyps (growths) will also be removed to prevent them from possibly growing into cancer. A colonoscopy typically takes 30 minutes to an hour.
What is an EGD?
An upper endoscopy (EGD) is a procedure used to examine the lining of the upper digestive tract, including the esophagus, stomach, and the first part of the small intestine. Before the procedure, you will receive a sedative and pain medication to help you relax. Using a thin, flexible tube with a light and camera, the doctor views detailed images on a video monitor. An EGD is commonly performed to identify the cause of symptoms such as abdominal pain, nausea, vomiting, difficulty swallowing, or bleeding. It can also help detect inflammation, ulcers, and tumors and may be used to take a biopsy or provide treatment.
Patient Education
