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Other Impairments, Restructuring and Other Items - Summary of Impairments, Restructuring and Others (Detail) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Restructuring Cost and Reserve [Line Items]    
Restructuring expenses $ 247 $ 130
Integration expenses   23
Contingent consideration 8 21
Impairments of long-lived assets 432 11
Other 20 55
Total $ 707 $ 240