Our results are concordant with those of Tacke et al. (2003) [1] and Hiroya Takahashi et al. (2006) [5] who concluded that serum ghrelin levels reflected the malnutrition state of patients with CLD being negatively correlated with anthropometric parameters, which was the case in our study. This evidence concerns the gene GHRL and congenital secretory chloride diarrhea 1.