My friend has 1,200,000+ kms. on his truck (about 750,000 miles!)
The only thing he has done to the engine is replace the clutch for the first time, at 1,000,000 kms. He NEVER lets his truck warm up and always drives the crap out of it.
I believe what Jim said about wearing the holes bigger over time and getting more power. The truck smokes a lot more than when it was new, but he says it has way more power than when it was new. He said it would still easily outpull his stock 97 5spd with only 45,000 miles on it.
Garry.