ALB and cirrhosis of liver: One patient with short bowel syndrome and liver cirrhosis (Figure 2) was readmitted and treated with intravenous fluids and total parenteral nutrition before undergoing gastro-ileal bypass separation, and the others were managed initially by dietary advices and supplements, but their chemical profile (albumin and hemoglobin) did not improve, and they needed revision for fear of more loss of weight and severe protein intolerance, so we separated the anastomosis, and RY gastric bypass was performed in 12 and 2 cases, respectively, and all cases showed improvement.