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Goodwill and other intangible assets - Intangible assets - Narrative (Detail) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Goodwill And Intangible Assets Disclosure [Abstract]      
Intangible asset amortization expense $ 1,317 $ 1,393 $ 1,469
Estimated amortization expense - 2020 1,275    
Estimated amortization expense - 2021 1,144    
Estimated amortization expense - 2022 1,082    
Estimated amortization expense - 2023 993    
Estimated amortization expense - 2024 913    
Intangible assets with indefinite lives, excluding goodwill $ 19,000 $ 18,900