Esteem synergy Adhesive Coupling Technology Stomahesive Skin Barrier. The Esteem synergy ostomy system features an innovative Adhesive Coupling Technology. Instead of plastic rings, a patented foam adhesive allows the pouch to be securely attached to the skin barrier on a clear plastic Landing Zone" flange. The result is a low profile, flexible, two-piece system. Stomahesive skin barriers are designed to be gentle on peristomal skin.