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Other Impairments, Restructuring and Other Items - Summary of Impairments, Restructuring and Others (Detail) - USD ($) $ in Millions	3 Months Ended		6 Months Ended
	Jun. 30, 2018	Jun. 30, 2017	Jun. 30, 2018	Jun. 30, 2017
Restructuring Cost and Reserve [Line Items]
Restructuring expenses	$ 107	$ 98	$ 354	$ 228
Integration expenses	2	25	2	48
Contingent consideration	47	140	55	161
Impairments of long-lived assets	548	145	980	156
Other	11	11	31	66
Total	$ 715	$ 419	$ 1,422	$ 659

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Contingent consideration related costs.

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Legal settlements loss contingencies impairments other expenses.

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Costs incurred to effect a business combination which have been expensed during the period. Such costs could include business integration costs, systems integration and conversion costs, and severance and other employee-related costs.

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The aggregate amount of write-downs for impairments recognized during the period for long lived assets held for use (including those held for disposal by means other than sale).

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