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Debt - Additional Information (Detail) € in Millions, SFr in Millions, $ in Millions, ¥ in Billions	1 Months Ended			3 Months Ended
	Oct. 31, 2018 CHF (SFr)	Jul. 31, 2018 CHF (SFr)	Nov. 30, 2015 USD ($)	Mar. 31, 2018 USD ($)	Mar. 31, 2018 JPY (¥)	Dec. 31, 2018 USD ($)	Sep. 30, 2018 USD ($)	Sep. 30, 2018 EUR (€)	Mar. 31, 2018 EUR (€)	Feb. 28, 2018 USD ($)	Dec. 31, 2017 USD ($)	Dec. 31, 2016 USD ($)
Debt Instrument [Line Items]
Senior notes						$ 28,483					$ 28,367
Long term debt currency portion USD						63.00%
Long term debt currency portion EUR						34.00%
Long term debt currency portion CHF						3.00%
Netherlands II B.V. [Member]
Debt Instrument [Line Items]
Senior notes | €									€ 1,600
Netherlands III B.V. [Member]
Debt Instrument [Line Items]
Senior notes				$ 2,500
Senior notes CHF 450 million [Member]
Debt Instrument [Line Items]
Senior notes											461
Weighted average interest rate	1.50%					1.50%
Repayments of debt | SFr	SFr 450
Senior notes CHF 300 million [Member]
Debt Instrument [Line Items]
Senior notes											308
Weighted average interest rate		0.13%				0.13%
Repayments of debt | SFr		SFr 300
Senior notes USD 1,500 million [Member]
Debt Instrument [Line Items]
Senior notes											1,500
Debt instrument redeemed amount				$ 1,500
Weighted average interest rate				1.40%		1.40%			1.40%
Senior notes EUR 1,000 million [Member]
Debt Instrument [Line Items]
Senior notes											1,199
Debt instrument redeemed amount | €									€ 1,000
Weighted average interest rate				2.88%		2.88%			2.88%
Term loan USD 2.5 billion [Member]
Debt Instrument [Line Items]
Repayments of debt				$ 2,300
Term loan JPY 58.5 billion [Member]
Debt Instrument [Line Items]
Repayments of debt | ¥					¥ 86.8
Term loan JPY 28.3 billion [Member]
Debt Instrument [Line Items]
Repayments of short-term debt | ¥					28.3
Term loan JPY 35 billion due 2018 and 2019 [Member]
Debt Instrument [Line Items]
Repayments of debt | ¥					¥ 70.0
Debentures USD 15 million [Member]
Debt Instrument [Line Items]
Weighted average interest rate						7.20%
Senior notes				$ 15
'Senior notes USD 1,700 million [Member]
Debt Instrument [Line Items]
Senior notes						$ 1,700					2,000
Debt instrument redeemed amount							$ 300
Weighted average interest rate						1.70%	1.70%	1.70%
Senior notes EUR 1,660 million [Member]
Debt Instrument [Line Items]
Senior notes						$ 1,897					2,095
Debt instrument redeemed amount | €								€ 90
Weighted average interest rate						0.38%	0.38%	0.38%
Convertible Debt [Member]
Debt Instrument [Line Items]
Weighted average interest rate						0.25%
Principal amount currently outstanding on the debt instruments						$ 514					$ 514
Revolving Credit Facility [Member]
Debt Instrument [Line Items]
Revolving credit facility			$ 3,000			$ 3,000				$ 3,000		$ 4,500
Debt instrument term			5 years

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Amount, before unamortized (discount) premium and debt issuance costs, of long-term debt. Includes, but is not limited to, notes payable, bonds payable, commercial loans, mortgage loans, convertible debt, subordinated debt and other types of debt.

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Effective interest rate for the funds borrowed under the debt agreement considering interest compounding and original issue discount or premium.

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Fair value amount of debt instrument that was repurchased.

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Period of time between issuance and maturity of debt instrument, in PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days.

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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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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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