Aim:This study investigated the modified Controlling Nutritional Status (modified CONUT) score as a potential factor for cancer chemotherapy discontinuation in advanced and recurrent gastroenterological cancer patients.Patients and Methods:We performed a retrospective analysis of 92 patients with advanced and recurrent gastroenterological cancer who died after undergoing cancer chemotherapy between August 2011 and February 2017. The patients were divided into three groups (normal and mild, moderate, and severe nutritional disorder) based on assessment by the modified CONUT score at the end of treatment. We evaluated the relationship among the three groups and survival time. We extracted clinical factors that shortened survival time.Results:The moderate and severe nutritional disorder groups had significantly lower overall survival than the normal and mild nutritional disorder group. Cox’s proportional‐hazard model showed that the nutritional classification according to the modified CONUT score was a predictor of overall survival.Conclusions:The classification according to the modified CONUT score may be useful for determining when to discontinue cancer chemotherapy.