ALB and gastroesophageal reflux disease: Two years and 6 months after the reoperation, there was no recurrence of reflux esophagitis or related symptoms without any medications, and the patient’s weight increased from 36 to 50 kg, albumin increased from 3.1 to 4.4 mg/dL, and PNI increased from 37.8 to 53.8 (Fig. 2).