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Debt - Additional Information (Detail) € in Millions, SFr in Millions, $ in Millions, ¥ in Billions	1 Months Ended	3 Months Ended
	Jul. 31, 2018 CHF (SFr)	Mar. 31, 2018 USD ($)	Mar. 31, 2018 JPY (¥)	Sep. 30, 2018 USD ($)	Sep. 30, 2018 EUR (€)	Sep. 30, 2018 JPY (¥)	Sep. 30, 2018 CHF (SFr)	Mar. 31, 2018 EUR (€)	Mar. 31, 2018 JPY (¥)	Dec. 31, 2017 USD ($)	Dec. 31, 2017 JPY (¥)
Debt Instrument [Line Items]
Senior notes				$ 29,054						$ 28,367
Short-term debt				$ 2,158						2,880
Long term debt currency portion USD				63.00%	63.00%	63.00%	63.00%
Long term debt currency portion EUR				34.00%	34.00%	34.00%	34.00%
Long term debt currency portion CHF				3.00%	3.00%	3.00%	3.00%
Netherlands II B.V. [Member]
Debt Instrument [Line Items]
Senior notes		$ 2,500						€ 1,600
Senior notes USD 1,500 million [Member]
Debt Instrument [Line Items]
Senior notes										1,500
Debt instrument face amount		1,500		$ 1,500
Senior notes EUR 1,000 million [Member]
Debt Instrument [Line Items]
Senior notes										1,199
Debt instrument face amount | €					€ 1,000			€ 1,000
Term Loan Facility [Member]
Debt Instrument [Line Items]
Repayment of debt		2,300
Term loan JPY 58.5 billion [Member]
Debt Instrument [Line Items]
Debt instrument face amount | ¥						¥ 58.5
Loan payment prepaid | ¥									¥ 86.8
Short-term debt | ¥											¥ 28.3
Term loan JPY 35 billion due 2018 and 2019 [Member]
Debt Instrument [Line Items]
Repayment of debt | ¥			¥ 70.0
Debentures USD 15 million [Member]
Debt Instrument [Line Items]
Debt instrument face amount				15
Loan payment prepaid		$ 15
Senior notes CHF 300 million [Member]
Debt Instrument [Line Items]
Senior notes										308
Debt instrument face amount | SFr							SFr 300
Repayment of debt | SFr	SFr 300
'Senior notes USD 2,000 million [Member]
Debt Instrument [Line Items]
Senior notes				1,700						2,000
Debt instrument face amount				1,700
Debt instrument redeemed amount				300
'Senior notes EUR 1,750 million [Member]
Debt Instrument [Line Items]
Senior notes				1,924						$ 2,095
Debt instrument face amount | €					1,660
Debt instrument redeemed amount | €					€ 90
Revolving Credit Facility [Member]
Debt Instrument [Line Items]
Revolving credit facility				$ 3,000

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Face (par) amount of debt instrument at time of issuance.

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Fair value amount of debt instrument that was repurchased.

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The carrying value as of the balance sheet date of the current portion of long-term obligations drawn from a line of credit, which is a bank's commitment to make loans up to a specific amount. Examples of items that might be included in the application of this element may consist of letters of credit, standby letters of credit, and revolving credit arrangements, under which borrowings can be made up to a maximum amount as of any point in time conditional on satisfaction of specified terms before, as of and after the date of drawdowns on the line. Includes short-term obligations that would normally be classified as current liabilities but for which (a) postbalance sheet date issuance of a long term obligation to refinance the short term obligation on a long term basis, or (b) the enterprise has entered into a financing agreement that clearly permits the enterprise to refinance the short-term obligation on a long term basis and the following conditions are met (1) the agreement does not expire within 1 year and is not cancelable by the lender except for violation of an objectively determinable provision, (2) no violation exists at the BS date, and (3) the lender has entered into the financing agreement is expected to be financially capable of honoring the agreement.

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Amount, after unamortized (discount) premium and debt issuance costs, of long-term debt, classified as current. Includes, but not limited to, notes payable, bonds payable, debentures, mortgage loans and commercial paper. Excludes capital lease obligations.

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The cash outflow during the period from the repayment of aggregate short-term and long-term debt. Excludes payment of capital lease obligations.

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