Did a little reading around on the internet, it appears that everyone is gung-ho on four wheel disc brakes for performance applications. Here's my two cents on this subject. From what I read, drums are less effective at dissapating heat, which leads to quicker brake fade. However, based upon drum size compared to disc size, you will have greater stopping power with rear drums, as the pads are significantly larger and there's more surface area. However, as the drum heats up, it can't effectively lose the heat as compared to a disc setup. If you are doing a lot of braking for long periods of time, discs would be the way to go.
I think that one should ask the question, why not put an exhaust brake on your truck? The cost to upgrade a rear axle is astronomical, and would be a real hassle... If you're buying a 24v 2nd gen, you can slap an exhaust brake on without much hassle, and at around 700-800, the cost is quite a bit less than a rear axle, and would be more beneficial. I would recommend also switching to EGR vented rotors on the front and upgrade the pads in the rear drums with EGR pads.
This is only my two cents worth, I'm no expert, but I think in 90% of all applications, this would be overkill.