In this analysis, hemoglobin was thought to have been influenced by transfusion, blood loss due to cancer bleeding, and iron deficiency anemia frequently observed in patients with stomach cancer.[24] Although the albumin level has risen to a very small extent (−0.18 g/dL in the EGJ obstruction group vs +1.30 g/dL in the obstruction group, P = .812), there is a limit to the fact that a relatively poor nutritional status and a long follow-up period are required to raise the albumin characteristics.[25,26]. This evidence concerns the gene ALB and gastric neoplasm.