The results of the affected esophagus substitution, using a large intestine segment, in postburn stenosis in 42 patients were analyzed. Complete cicatricial esophageal impassability, impossibility or dangerous bougienage, rapid occurrence of the stricture recurrence, anamnesis data about perforation occurrence, presence of esophageal fistula have constituted the indications for the intervention performance. The best results were achieved while application of isoperistaltic retrosternal coloesophagoplasty, using left half of large intestine. The early postoperative complication was partial insufficiency of the neck anastomosis sutures and the late one--formation of its cicatricial stricture. Three patients died (postoperative lethality was 7.1%).