Expert care, personal attention, and a dedicated team
For more than 20 years, our experienced providers at Cascade Medical have offered safe, comfortable endoscopic services close to home. Led by Dr. Tony Butruille, our program combines decades of experience with a highly skilled team to provide patient-centered care while meeting or exceeding quality standards set by the American Society of Gastrointestinal Endoscopy (ASGE) and the Society of Gastroenterology Nurses and Associates (SGNA).
Our Services
Colonoscopy
Early detection and intervention help prevent colorectal cancer. The American Cancer Society recommends men and women begin colonoscopy screenings at age 45 and repeat every 10 years. Your doctor may recommend starting earlier if colon cancer runs in your family.
A colonoscopy is performed under monitored conscious sedation. A flexible tube with a tiny camera is inserted to allow direct examination of the entire large intestine. The physician checks the bowel wall for abnormalities such as polyps, inflammation, or tumors, and can perform biopsies or remove polyps during the procedure. Most colonoscopies take less than 45 minutes.
A colonoscopy screening is one of the most important steps you can take to prevent colon cancer. Visit our "Patient Forms" page for instructions on how to prepare for your procedure.
Upper Endoscopy
An upper endoscopy allows the physician to examine the lining of the esophagus, stomach, and duodenum (the first portion of the small intestine). This procedure uses a smaller flexible tube with a camera, performed under sedation.
Doctors recommend this diagnostic procedure for patients with digestive system disorders, including:
- Gastroesophageal reflux disease (GERD)
- Peptic ulcer disease
- Swallowing difficulties
- Unexplained bleeding
Other Services
- Routine esophageal dilations
- Diagnostic evaluations for anemia, persistent diarrhea, and other GI concerns
Please note: We do not perform emergency procedures, such as foreign body removal or active bleeding. Patients with complex medical needs are carefully evaluated and referred to specialists when appropriate.
What to Expect
- Team-Based Care: You’ll be supported by a consistent team throughout your procedure and recovery for comfort and continuity.
- High Quality & Safety: Our outcomes exceed national benchmarks for complete exams and polyp detection.
- Patient Satisfaction: Our program consistently receives top patient ratings for professionalism, comfort, and personalized care.
We look forward to caring for you in the Cascade Medical Endoscopy Program.
Bowel Prep Resources
Please click the option below that matches the bowel prep prescribed by your provider.
Standard Prep
Extended Prep (Prescribed for patients with a history of constipation, GLP-1 medication use, etc.)
Scheduling & Referrals
Procedures are typically performed on Tuesdays and Wednesdays. Referring providers can fax referrals to 509-548-1605. Your referring provider will send the necessary information to schedule your procedure safely. Some patients may also choose a pre-procedure visit at our family practice clinic. Click here for the referral fax sheet.
Dr. Butruille has over 24 years of experience leading our endoscopy program and has performed more than 5,000 procedures. He continues to advance his expertise through ongoing education and advanced courses, ensuring the program maintains the highest standards. While Dr. Butruille leads the program, our team of experienced nurses, technologists, and additional providers all work together to deliver exceptional care.