Description 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 recommended for people whose stoma output is semi-formed to formed. It holds securely to skin while helping to protect against irritating output. Skin barrier are avialable with flexible fabric collar, or without a fabric collar, pre-cut and cut-to-fit.