Esteem synergy Adhesive Coupling Technology Closed-end Pouch. The Esteem synergy system features an innovative Adhesive Coupling Technology. Instead of plastic rings, a foam adhesive securely couples the pouch to the skin barrier's clear plastic Landing Zone." The result is a low profile, flexible, secure system, with the convenience of a one piece and the versitility of a two-piece. Esteem synergy skin barriers feature Stomahesive or Durahesive technologies and are designed to be gentle yet durable to protect sensitive peristomal skin. The Esteem synergy pouching system offers the latest technologies from ConvaTec including: A state-of-the art filter with anti-clogging film layer, New, soft and quiet materials ConvaTec?s latest pouches and advanced adhesives offer you the security, comfort , and discretion you deserve.