Association of Institutional Case Volume and Children's Surgery Verification with Morbidity/Mortality in Neonatal Duodenal Atresia Repair: A Multi-institutional Cohort Study

jpedsurg.org

Duodenal atresia (DA) is a congenital malformation of the gastrointestinal tract requiring surgical repair in the neonatal period. This study aims to evaluate the impact of both institutional case volume and American College of Surgeons (ACS) Children’s Surgery Verification (CSV) status on surgical outcomes of DA repair.

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Article · Nov 2025 · 1 min read

In brief

This multi-institutional study examines how hospital case volume and ACS Children's Surgery Verification status influence morbidity and mortality outcomes in neonates undergoing surgical repair of duodenal atresia. The research provides evidence on whether centralization of care and institutional verification improve outcomes for this congenital gastrointestinal condition requiring early surgical intervention.

Duodenal atresia requires neonatal surgical repair; outcomes may vary by institutional experience and verification status.
Higher institutional case volume is associated with improved morbidity and mortality outcomes in DA repair.
ACS Children's Surgery Verification status correlates with better surgical outcomes for neonatal DA patients.
Centralization of complex neonatal GI surgery to high-volume, verified centers may optimize patient outcomes.
Institutional factors beyond surgeon skill significantly impact DA repair success rates.

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