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Goodwill and other intangible assets - Intangible assets - Narrative (Detail) - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Dec. 31, 2018
Goodwill And Intangible Assets Disclosure [Abstract]      
Intangible asset amortization expense $ 658 $ 707  
Intangible assets with indefinite lives, excluding goodwill $ 18,900   $ 18,900