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Exceptional items - Summary of Exceptional Items Included in Income Statement (Detail) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Disclosure Of Exceptional Items [abstract]      
Restructuring $ (385) $ (468) $ (323)
Acquisition costs business combinations (74) (155) (448)
Business and asset disposal (including impairment losses) (26) (39) 377
Provision for EU investigation (230)    
Impact on profit from operations $ (715) $ (662) $ (394)