This topic is about finding ways to prevent blockages in the small intestine caused by scar tissue, known as adhesions, for someone with a colostomy who is also undergoing chemotherapy. The person is experiencing repeated bowel blockages, and surgery is not recommended as it could lead to more scar tissue. Here are some suggestions and insights that might help:

1. Physical and Manual Therapies
- Consider seeing a physical therapist who specializes in adhesion-focused treatments like visceral manipulation or Active Release Technique. These involve deep-tissue massage through the abdominal wall and exercises to improve mobility and strengthen the body.
- One person reported that an 8-week course of therapy improved their alignment, range of motion, and reduced symptoms.
- Manual abdominal stretching or massage might temporarily relieve narrowing, though the effects may not last long.

2. Endoscopic or Radiologic Dilation and Stenting
- Balloon dilation has been tried, but there are concerns about its durability as one instance resulted in a rupture.
- There are existing commercial stents for the intestines, and research is ongoing for biodegradable options. Ureteral stents, which are changed every six months, show that similar stents might work for the gastrointestinal tract.
- Be aware of potential issues like interference with natural movements, migration, perforation, and removal difficulties. It's a good idea to consult a gastroenterologist or interventional radiologist about the possibility of using stents for adhesive strictures.

3. Conservative Management
- Staying well-hydrated is crucial, as advised by doctors.
- Following a low-residue diet can help minimize the risk of blockages. Working with a nutritionist can help expand food choices safely.

4. Surgical Considerations
- Each abdominal surgery can lead to new adhesions, and the risk increases with each operation.
- If symptoms are severe and other measures don't help, elective surgery to remove adhesions might be considered, but it's important to weigh the benefits against the risk of creating more scar tissue.