Two years and 8 months after the reoperation, there was no reoccurrence of reflux esophagitis without any medications, her weight increased from 44 to 59 kg, albumin increased from 3.3 to 3.7 mg/dL, and PNI increased from 41.9 to 46.3 (Fig. 3). This evidence concerns the gene ALB and gastroesophageal reflux disease.