Serum albumin level has been regarded as a good index of malnutrition in a wide variety of patient populations,[7,19] and the TLC has been considered as a helpful indicator of systemic inflammatory status.[3] Thus, we believed that the preoperative PNI, which reflected both nutritional and inflammatory status, could be used to predict the development of SSIs in GI patients undergoing intestinal resections. Here, ALB is linked to nutritional deficiency disease.