Esteem synergy Adhesive Coupling Technology Drainable Pouch. The Esteem synergy ostomy system features an innovative Adhesive Coupling Technology. Instead of plastic rings, a 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. Esteem synergy skin barriers feature Stomahesive and Durahesivetechnologies and are designed to be gentle yet durable to protect sensitive peristomal skin. Pouch allows for draining.