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Other Impairments, Restructuring and Other Items - Summary of Impairments, Restructuring and Others (Detail) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Restructuring Cost and Reserve [Line Items]
Restructuring expenses	$ 88	$ 72	$ 442	$ 300
Integration and acquisition expenses	4	31	9	87
Contingent consideration	29	18	84	179
Impairments of long-lived assets	521	408	1,501	564
Other	16	21	44	79
Total	$ 658	$ 550	$ 2,080	$ 1,209

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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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