ALB and Abnormal renal physiology: A position paper of the International Study Group on Pancreatic Surgery (ISGPS) suggested that preoperative nutritional support should be seriously considered if at least one of the following criteria is met: (1) weight loss > 15% within 6 months, (2) Body Mass Index < 18.5 kg/m2, (3) SGA grade C or nutritional risk score > 5, or (4) serum albumin < 30 g/L (with no evidence of hepatic or renal dysfunction) [34].