The ethanol causes more problems with carburetors and other fuel system parts than internal engine mechanical troubles. Ethanol-added fuel goes stale much faster, so unless your truck is a daily driver, you'd better use fuel stabilizer regularly. Some early type rubber parts have a habit of developing leaks when exposed to ethanol, and there's a possibility that some of the epoxy coatings that get applied to the inside of fuel tanks can deteriorate when exposed to ethanol. Basically it's nasty stuff! Carb King calls it "deathanol"!
Jerry