Bariatric and metabolic surgery during the COVID-19 crisis: strategies facing two pandemics

Since its first appearance in Wuhan at the end of 2019, the SARS-CoV-2 pandemic has brought serious repercussions worldwide, Spain being among the most affected countries. This health crisis resulted in the cancellation of surgeries pertaining to both malignant and benign pathologies, including bariatric and metabolic surgery. Patients with morbid obesity, besides their delay in surgical interventions, are at high risk of contracting severe COVID-19. For this reason, once the epidemiological situation has improved in our hospitals and the necessary resources become again available, this surgical activity should be progressively restarted. The goal of this paper is to review the published literature regarding the main perioperative recommendations concerning safe bariatric and metabolic surgery during the COVID-19 pandemic.

MODERN ANTI-CRISIS STRATEGIES OF DEVELOPED COUNTRIES

The article is devoted to the study of the specifics of world crises, the study of modern anti-crisis strategies of developed countries and the substantiation of tools and mechanisms for overcoming crisis phenomena in the world economy. The object of research is the process of development and implementation of anti-crisis strategies in the leading countries of the world. The mechanisms of overcoming crisis phenomena in the developed countries of the world are the subject of the study. The article considers the essence of crisis phenomena in the world economy, critically examines the specifics of world economic crises, and studies the main types of crisis strategies of countries. The analysis of the peculiarities of application of modern methods and tools of strategic anti-crisis regulation, as well as the study of anti-crisis strategies and anti-crisis management programs of the EU and USA allowed proposing and substantiating priority areas of anti-crisis strategies of developed countries at the present stage. It is established that the main fields of application of anti-crisis policy of governments include monetary policy, support for the real sector of the economy, the banking system, fiscal policy and also social policy measures (social protection and reduction of unemployment). The article substantiates that each country develops its own optimal set of anti-crisis tools and mechanisms for their application, differ in scale, priorities, focus and ranking. The methodological bases of the study are both general and special methods of scientific knowledge: descriptive-analytical, analysis and synthesis, methods of quantitative and qualitative comparisons. Monographic research and periodical publications of domestic and foreign economists, materials and analytical reports of international organizations, international consulting companies and analytical centers are the information basis of the article. The results of the work can be used in further research and practical development in the planning and implementation of anti-crisis strategies of countries, including for Ukraine.