Fig. 6

Clinical course of the present case. The clinical course and date since “initial visit to the hospital”. “First Ope” is gastro-jejunal bypass and “Second Ope” is distal gastrectomy with D2 lymphadenectomy and partial hepatectomy. Normal range; AFP (alpha-fetoprotein;) ≤ 10.0 (ng/mL), PNI (prognostic Nutritional Index) ≥ 40, and Pre-ALB (pre-albumin) 21.0–41.0 (g/dL)